Header and burden statement
OMB Number 2900-0559, a respondent burden of 15 minutes, and a note naming 38 U.S.C. 2408 as the statutory authority for a State Cemetery Grant.
VA40-0895-8
Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals
- Agency
- VA
- Revision
- September 2023
- Fillable fields
- 10
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form VA40-0895-8: Certification Regarding Drug-Free Workplace Requirements
VA Form VA40-0895-8 is the U.S. Department of Veterans Affairs Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals. The form says the information is necessary to ensure that the State, Tribal or eligible County government has complied with the Drug-Free Workplace Act of 1988 at the location where the construction will occur. It names 38 U.S.C. 2408 as the statutory authority for a State Cemetery Grant.
It is a grant certification signed by a government representative, not a Veteran benefit form. The form says the regulations implementing the Drug-Free Workplace Act of 1988 require certification by grantees, prior to award, that they will maintain a drug-free workplace. Page 1 lists the seven ways the grantee certifies it will do that, and page 2 asks for the site of the work and the signature.
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What's on VA Form VA40-0895-8
Legal basis
The Drug-Free Workplace Act of 1988, 41 U.S.C. §§ 701 et seq. The form says false certification or violation of the certification shall be grounds for suspension of payments, suspension or termination of grants, or government-wide suspension or debarment.
Commitments (1) to (3)
Publishing a statement that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the workplace, a drug-free awareness program, and a copy of the statement for each employee on the grant.
Commitments (4) to (7)
Employees notify the employer of a workplace drug conviction no later than five days after it, the grantee notifies the agency within ten days, takes one of the listed actions within 30 days and makes a good faith effort to keep a drug-free workplace.
Page 2: site for performance of work
Street address, city, county, state, zip code and remarks for the site or sites where work on the specific grant is done.
Page 2: signature block
Name of organization, project FAI (Federal Application Identifier) number, the authorized representative's name and title, signature and date (mm/dd/yyyy).
How to complete VA Form VA40-0895-8
- 1
Read the certification
Page 1 sets out the seven ways the grantee certifies it will provide a drug-free workplace.
- 2
Enter the work site
The instruction on page 2 says the grantee inserts the site or sites for performance of work done in connection with the specific grant.
- 3
Add remarks if needed
Page 2 has a Remarks box below the address fields.
- 4
Identify the organization
Enter the name of organization and the project FAI number.
- 5
Sign and date it
The authorized State, Tribal or eligible County government representative enters a name and title, signs and dates the form.
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Where it goes and edition
Before the award
The form says the regulations require certification by grantees prior to award. It does not print a mailing address.
Not to the burden address
Comments on the burden estimate go to OIRA Desk Officer for VA, 725 17th St NW, Washington, DC 20503. The form says to send comments only and not applications for a grant to this address.
Edition
Both pages carry the footer VA FORM SEP 2023 and OMB Number 2900-0559. Page 1 prints an expiration date of Oct. 31, 2026 and page 2 prints Nov. 30, 2023.
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Who completes VA Form VA40-0895-8?
The form names the grantee, its representative and the agency that relies on it.
Official sources and the blank
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Questions about Form VA40-0895-8
What is VA Form VA40-0895-8 used for?
The form says the information is necessary to ensure that the State, Tribal or eligible County government has complied with the Drug-Free Workplace Act of 1988 at the location where the construction will occur.
When is the certification made?
The form says the regulations require certification by grantees, prior to award, that they will maintain a drug-free workplace.
What does the form say about a false certification?
It says false certification or violation of the certification shall be grounds for suspension of payments, suspension or termination of grants, or government-wide suspension or debarment.
What time limits does the form list?
An employee notifies the employer of a workplace drug conviction no later than five days after it. The grantee notifies the agency within ten days of that notice and takes one of the listed actions within 30 days.
What goes on page 2?
The site or sites for performance of work on the specific grant (street address, city, county, state, zip code), remarks, the organization and project FAI number, and the representative's signature.
How long does it take to complete?
The form estimates the public reporting burden at an average of 15 minutes.