CalFresh Outreach Forms

Fiscal Forms

Invoicing

• Invoicing Spreadsheet
• CalFresh Outreach Certification of Activity
• Budget Adjustment Request (BAR)
• Subcontractor Intra-Line Adjustment Request (SILAR)

Scope Of Work

• Scope of Work Reporting Template
• Tracking Tool
• Individual Tracking Tool

Property Management

• Equipment Form AA 113 - Property Transaction Record
• Equipment Form STD 152 - Property Survey Report
• Equipment Form GEN 1311 - CDSS Incident Report
• Equipment Form GEN 377 - Equipment Transfer Notice

Other Forms

• Sample Memorandum of Understanding (MOU)

Program Forms

Forms

• Annual Report Narrative
• Mid-Year Report
• Promising Practices
• Sample Call Log
• Civil Rights Complaint Form
• Forms and Publications - Listed by Program
• U.S. Citizenship and Immigration Services Letter ( English ) ( Spanish ) (New)
• Authorization for Release of Information Worksheet

FFY 2017-2018 Confidentiality Agreement

• Agreement # 16-SUB-00872, Catholic Charities of California
• Agreement # 16-SUB-00880, Redwood Community Health Coalition
• Agreement # 16-SUB-00881, Santa Ynez Valley People Helping People
• Agreement # 16-SUB-00965, California Association of Food Banks
• Agreement # 16-SUB-00876, INFO LINE of San Diego dba 2-1-1 San Diego
• Agreement # 16-SUB-00890, Center for Healthy Communities 
• Agreement # 16-SUB-00877, Inland Behavioral and Health Services, Inc.
• Agreement # 16-SUB-00891, Mexican American Opportunity Foundation
• Agreement # 16-SUB-00878, North East Medical Services
• Agreement # 16-SUB-00879, Providence Little Company of Mary Foundation
• Agreement # 16-SUB-00875, Code for America