EXHIBIT 1200A - LWDB RECERTIFICATION SUBMISSION REQUIREMENTS.DOCX.PDF

Local Workforce Development Board Recertification
Submissions Requirements 2020
Program Years 2020 and 2021
Local Workforce Development Board
____________________________________
This form serves as the request for [NAME OF LOCAL WORKFORCE DEVELOPMENT
BOARD] (LWDB) recertification for Program Years (PYs) 2020-21 under the Workforce
Innovation and Opportunity Act (WIOA).
If the Workforce Arizona Council (the Council) determines the request is incomplete, it will either
be returned or held until the necessary documentation is submitted. Please send an email to
TitleIB@azdes.gov​ for technical assistance or questions related to completing and submitting
this request.
Name of LWDB
Mailing Address
City, State Zip
Contact Person
Contact Person’s Phone Number
Date of Submission
​pg. 1 EXHIBIT 1200A November 13, 2020

SUBMISSION REQUIREMENTS
LWDB Recertification submission packets
Packages may be submitted on or before December 1 and must be submitted by January 2.
Extension requests will be considered on a case-by-case basis​.
● Documents must not be sent in for review until all required documents are available, and
meet requirements in the self-assessments checklist, as per Local Workforce
Development Board Recertification Requirements Policy, ​section 1202.C​.
● Incomplete submission packets will not be considered for review and will be rejected as
per Local Workforce Development Board Recertification Requirements Policy, ​section
1202.D​.
1. LWDB Membership
Enter the LWDB members’ information into the ​LWDB Roster Spreadsheet​, which must be
submitted with the form. The membership requirements are described in the Roster, as well as
in 20 CFR​ 679.320​ and the Workforce Arizona Council’s Workforce Innovation and Opportunity
Act Local Governance Policy (“Council ​Policy #1​”), 06-2019, Section VIII.
If your LWDB membership does not meet the required composition, please complete the
following information ​within​ the Roster: (1) length of the vacancy; (2) efforts to fill the vacancy;
and (3) estimated month and year when vacancy is anticipated to be filled​. If you submit an
updated Roster from your initial certification request and you have a vacancy, please include the
information from (1) – (3) above in the Roster within the section where there is a vacancy.
2. List of Standing Committees and Standing Committee Members
Please include this information within the ​LWDB Roster Spreadsheet​, second tab
named: “​Standing Committee Members​.”
3. Bylaws
Please submit a copy of, or link to this stand alone document or to larger agreement(s)
that include this requirement.
4. Consortia Agreement, if applicable
Please submit a copy of, or link to this stand alone document or to larger agreement(s)
that include this requirement.
​pg. 2 EXHIBIT 1200A November 13, 2020

5. Shared Governance Agreement (includes Organizational Chart)
Please submit a copy of, or link to this stand alone document or to larger agreement(s)
that include this requirement.
6. One-Stop and Service Provider Agreements
Please submit a copy of, or link to this stand alone document or to larger agreement(s)
that include this requirement.
7. Local Plan
Please submit a link to this stand alone document.
8. One-Stop Procurement, including contract
Please submit a copy of, or link to this stand alone document or to larger agreement(s)
that include this requirement.
9. Memorandum of Understanding/Infrastructure Agreement
Please submit a copy of, or link to this stand alone document or to larger agreement(s)
that include this requirement.
10. Policy Development
A. Conflict of Interest
Please attach or provide links to policies which meet this requirement.
B. Training Services, Including requirements for work-based training
Please attach or provide links to policies which meet this requirement.
11. LWDB Oversight
Please attach or provide links to policies which meet this requirement.
12. LWDB Management of Funds
Please attach or provide links to policies which meet this requirement.
13. LWDB Recertification Checklists
There is one spreadsheet with a tab for items 1-5. For each item, indicate if the
provision is included in the document and where it may be found. There is also a tab
“Options for LWDB to Link Items.” LWDBs are encouraged to use this tab to link
required documents. If the LWDB chooses to not provide links to documents, please
attach requested documents to the submission packet.
​pg. 3 EXHIBIT 1200A November 13, 2020

Signature ​Page
By signing below, the local CEO and LWDB chair request LWDB
recertification. We certify that the LWDB appointed members as described in
WIOA Section 107(a), (b), and (c), performed successfully and sustained
fiscal integrity during PYs 2020-21, and developed and implemented
strategies to improve and continuously strengthen the ARIZONA@WORK
system in accordance with WIOA.
Instructions
The LWDB chairperson and local CEO must sign and date this form.
Electronic signatures will be accepted.
LWDB Chair Local CEO
Signature Signature
Matt McGuire Jack Sellers
Name Name
MCWDB Chairman Board of Supervisors Chairman
Title Title
Date Date
Note: Packet will be signed after formal approval by Maricopa County Workforce Development Board
Chairman and the Maricopa County Board of Supervisors Chairman.
​pg. 4 EXHIBIT 1200A November 13, 2020