Budget (Continued If Necessary) Agency Name:_________________________________________ Service Standard Title:_________________________________ A. Personnel 1. Salaries & Wages 2. Fringe Benefits (A) (B) (C) (D) (E) (F) (G) Average # Salary/ # of Salary/ Fringe Fringe Position/Job of Wage per Wage Benefit Benefit Title* Hours/ month for For Rate Cost Month Program Program *Please list each staff for position individually. Program (H) Full-Time Equivalents by Position: Title of Position INDIANA DEPARTMENT OF SERVICES
Budget (Continued If Necessary) Agency Name:_________________________________________ Service Standard Title:_________________________________ A. Personnel 1. Salaries & Wages 2. Fringe Benefits (A) Position/Job Title* (B) Average # of Hours/ Month for Program (C) Salary/ Wage per month for Program (D) # of (E) Salary/ Wage For Program (F) Fringe Benefit Rate (G) Fringe Benefit Cost *Please list each staff position individually. (H) Full-Time Equivalents by Position: Title of Position INDIANA DEPARTMENT OF SERVICES
ATTACHMENT_E-_BUDGET_instruction_Homebuilders.docx