| {Human Services Department} |
Provide coordinated and holistic services to the human service providers within the County. |
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Provider Forms
The following forms must be used by all Providers receiving funds from:
A. Human Services Development Fund (HSDF)
This form is used for invoicing on a cost-per-unit basis
This form is used for invoicing for salary & fringe reimbursement
This is "Page 2" of the invoice form and must be used in conjunction with Form M-1-A & Form M-1-B
This form is used for reporting quarterly information to the Department of Public Welfare and must be used by all providers and submitted to the County by 20 days after the end of the quarter.
B. Homeless Assistance Program (HAP)
Quarterly State Reporting Form
C. Temporary Assistance To Needy Families (TANF)
Quarterly State Reporting Form
Forms may be printed by clicking the Print toolbar within the Adobe Acrobat Reader viewer.
