forms

2011-2012 Audit, Compliance Attestation and Agreed-Upon Procedures Guidelines for Contractors Receiving Assistance through PCAR and/or PCADV

2012 PCADV-PCAR Audit Guidelines (.pdf)

DPW RFP 2011-2012 - due April 8th, 2011

DPW_RFP_Application Page (.xls)
Renewal_Application_01-12 (.xls)
Copy_ of_ DPW_Budget_Documents_2011-2012 (.xls)
Insurance_Coverage_Information_RFP 11-12 (.xls)
Fundable_Services (.xls)

DPW Revised Budget 2010-2011 – due date April 15, 2011

DPW_Revised_Budget_Form_2010-2011 (.xls)

PHHSBG RFP

PCAR_Funding_Streams_10-11 (.doc)
PHHSBG_ Budget_ Form_ 10_1_10_ 9_30_11 (.xls)
Technical_assistance_document (.doc)

VSPE Documents

VSPE documents in Spanish

Client_ Demo_ in_ Espanol (.pdf)

Client_ Demographics_in_ Espanol (.pdf)

ESQLF_Spanish (.pdf)

ESQSF_Spanish (.pdf)

Participation_Form_Spanish (.pdf)

Spanish_ ACQ (.pdf)

VSPE Outcome Forms (pdfs)

Adult_Client_Questionaire

Cover_Sheet_for_Adult_Client_Questionaire

Empowerment_and_Satisfaction_Questionaire_(ESQ-LF)

Empowerment_and_Satisfaction_Questionaire_ (ESQ-SF)

Log_for_Tracking

VSPE_ Summary_ Sheet_ Form_ 2011

VSPE_Datasheet_with_demographics-REVISED

VSPE Excel Spreadsheets

Maintaining Service Recipient Files

Maintaining_service_recipient_files (.pdf)

Rape Prevention & Education (RPE) Budget Submission FY 2010/11

Budget_Preparation_Guidelines (.doc)
C_RPE_Budget_Sample (.xls)
CDC_ requirements_ guidance_ summary (.doc)

Sample Client Service Plans

Download all files - client_services_plan (.zip)

Download individual files:

Community Match Verification

Cash_Match_Form (.xls)

Interpreters Hearing Impaired

http://www.portal.state.pa.us/portal/server.pt/community/interpreters/10373

Sample form - Religious Nonaffiliation Policy

WOAR's_Religious_Non-Affiliation_Policy (.doc)

Catastrophic Loss Policy

Catastrophic_Loss_Policy (.doc)

2010 SAAM Materials

Sexual Assault Awareness Month materials will be distributed to centers by request. Centers should fill out the attached form and fax or email the completed copy back to PCAR by November 20.

2010_PCAR_SAAM_Order_Form (.pdf)

The following posters will be printed and distributed to centers by request. Several other poster options will be available to centers via high quality PDFs.