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DocuSign Envelope ID: 5B7BBB36-E920-4DA2-A383-7ADB6AAB486C <br />State of Washington <br />Administrative Office of the Courts <br />I, [AOC Comptroller name], have reviewed the Becca reimbursement <br />documents and supporting documentation provided by [county and county <br />designee name] for the time period Fiscal Year [20XX], and do hereby <br />declare that: <br />❑ Documentation is in compliance with Becca cost reimbursement <br />requirements. <br />❑ Documentation is not in compliance with Becca cost reimbursement <br />requirements. The following corrective action must be taken: <br />Summary/detail of corrective action and completion provided here. <br />Signed <br />AOC Comptroller/Designee Date <br />n:\programs & organiz tions\wajca\contracts\exhibit as & bs (and old os-reporting)\oxhitch a becca cost guidelines 2023.docx <br />BECCA Guidelines 7/2023 7 IAA24306 <br />