If this is a renewal contract, describe at a minimum how your program developed and made progress toward its goals in the past year? What barriers, if any, have impacted your ability to meet program agency’s goals? How are services evaluated? What are the results? Identify strengths and weaknesses noted in evaluations. If fees will be collected from recipients of any services outlined in the Contract Requirements, state the anticipated annual amount of revenue. Also state how those revenues will be used to offset the costs. contract’s Instructions for the Projected Level of Service Forms LOS forms are located on the DFD website. You must complete the forms and submit them with the renewal package. The following forms, as related to the approved components of the program are required: TS Projected County LOS TS Projected Provider LOS TIP Quarterly LOS CM Projected Level of Service REMINDERS: All program details must reconcile to the Annex A narrative details, the Annex B and the LOS. Please ensure the mathematical accuracy of the data presented.
If this is a renewal contract, describe at a minimum how your program developed and made progress toward its goals in the past year? What barriers, if any, have impacted your agency’s ability to meet program goals? How are services evaluated? What are the results? Identify strengths and weaknesses noted in evaluations. If fees will be collected from recipients of any services outlined in the Contract Requirements, state the anticipated annual amount of revenue. Also state how those revenues will be used to offset the contract’s costs. Instructions for the Projected Level of Service Forms LOS forms are located on the DFD website. You must complete the forms and submit them with the renewal package. The following forms, as related to the approved components of the program are required: TS Projected County LOS TS Projected Provider LOS TIP Quarterly LOS CM Projected Level of Service REMINDERS: All program details must reconcile to the Annex A narrative details, the Annex B and the LOS. Please ensure the mathematical accuracy of the data presented.
fy16_ts_annxa.docx