Applicant 06.D-Attachment I-7A If yes, submit copy of IRS Yes, if Provides Audit Report; and Related applicable. IRS correspondence Applicant 06.E-Attachment I-7D Description of IRS Yes, if Provides discrepancies or liens applicable. impacting operation’s financial position Applicant 06.F-Attachment I-8 If yes, submit a description Yes, if Provides of discrepancies and/or applicable. unresolved issues with the State Auditor’s Office (SAO) Applicant 06.G-Attachment I-9 If yes, submit procedures Yes, if applicable. Provides describing your process for safeguarding and securing confidential information Applicant 06.H-Attachment III-14 Explain why foster family Yes, if applicable. Provides for all four (4) years are not included Applicant 06.I-Attachment III-15 Descriptions of Applicant’s Yes, if applicable. Provides processes for ensuring financial disbursement to foster families are made within ten (10) days of receipt of DFPS funds Applicant 06.J-Attachment III-17 If yes, submit a description Yes, if applicable. Provides of how your organization pays for Intermittent Alternative Care Package 11 07-Form 9025a Related Party (Building & Yes Form N Transportation - Leases/Rental Worksheet) FILE FOLDER 4: Service Level Monitor Attachments The following information to be organized in File Folder 4 as provided below. A DFPS License or RCCL acceptance letter. Complete set of program policies and procedures, and philosophy, including a substance abuse policy that indicates the Applicant will ensure substance abuse services will be provided for the Child, if needed. Substance abuse services can include referrals to outpatient/inpatient programs in the community, or substance abuse services provided through the Applicant's Operation. Submit all of your Operation’s Policies and Procedures.
Applicant Provides 06.D-Attachment I-7A If yes, submit copy of IRS Audit Report; and Related IRS correspondence Yes, if applicable. Applicant Provides 06.E-Attachment I-7D Description of IRS discrepancies or liens impacting operation’s financial position Yes, if applicable. Applicant Provides 06.F-Attachment I-8 If yes, submit a description of discrepancies and/or unresolved issues with the State Auditor’s Office (SAO) Yes, if applicable. Applicant Provides 06.G-Attachment I-9 If yes, submit procedures describing your process for safeguarding and securing confidential information Yes, if applicable. Applicant Provides 06.H-Attachment III-14 Explain why foster family for all four (4) years are not included Yes, if applicable. Applicant Provides 06.I-Attachment III-15 Descriptions of Applicant’s processes for ensuring financial disbursement to foster families are made within ten (10) days of receipt of DFPS funds Yes, if applicable. Applicant Provides 06.J-Attachment III-17 If yes, submit a description of how your organization pays for Intermittent Alternative Care Yes, if applicable. Package 11 Form N 07-Form 9025a Related Party (Building & Transportation - Leases/Rental Worksheet) Yes FILE FOLDER 4: Service Level Monitor Attachments The following information to be organized in File Folder 4 as provided below. A DFPS License or RCCL acceptance letter. Complete set of program policies and procedures, and philosophy, including a substance abuse policy that indicates the Applicant will ensure substance abuse services will be provided for the Child, if needed. Substance abuse services can include referrals to outpatient/inpatient programs in the community, or substance abuse services provided through the Applicant's Operation. Submit all of your Operation’s Policies and Procedures.
2-6-1-IPTP-Open-Enrollment-Application-Attachments-Required-Forms.docx