Form B 05/2020
STATE JUSTICE INSTITUTE
Certificate of State Approval
The
Name of State Supreme Court or Designated Agency or Council
has reviewed the application entitled
prepared by
Name of Applicant
approves its submission to the State Justice Institute, and
[ ] agrees to receive and administer and be accountable for all funds awarded by SJI
pursuant to the application;
[ ] herby requests consideration of a reduction in cash match as requested by the
applicant;
[ ] designates
Name of Trial or Appellate Court or Agency
as the entity to receive, administer, and be accountable for all funds awarded by
SJI pursuant to the application.
Signature Date
Name
Title
Form B 05/2020
INSTRUCTIONS
The State Justice Institute Act requires that:
Each application for funding by a state or local court shall be approved, consistent with state law,
by the state's supreme court, or its designated agency or council, which shall receive, administer,
and be accountable for all funds awarded by SJI to such courts (42 U.S.C. 10705(b)(4)).
FORM B should be signed by the chief judge or chief justice of the state supreme court, or by the
director of the designated agency or chair of the designated council.
The term "state supreme court” refers to the court of last resort of a state. "Designated agency or
council" refers to the office or judicial body which is authorized under state law, or by delegation
from the state supreme court, to approve applications for grant funding and to receive,
administer, and be accountable for that funding.