INDIANA DEPARTMENT OF CHILD SERVICES BUDGET JUSTIFICATION WORKSHEET Agency Name:_________________________________________________ Service Standard Funding Period: From July 1, 2011 to June 30, 2013 (One year budget for both years) Budget 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* month for For Rate Cost Month Program Program *Please list each staff for position individually. Program Total Salaries and Wages: Fringe: A. 3. Consultant and Contract Services (A) (B) (C) (D) (E) Total Consultant and Contract Services:
INDIANA DEPARTMENT OF CHILD SERVICES BUDGET JUSTIFICATION WORKSHEET Agency Name:_________________________________________________ Service Standard Funding Period: From July 1, 2011 to June 30, 2013 (One year budget for both years) Budget A. Personnel 1. Salaries & Wages 2. Fringe Benefits (A) Position/Job Title* (B) Average # of 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. Salaries and Wages: Total Fringe: A. 3. Consultant and Contract Services (A) (B) (C) (D) (E) Total Consultant and Contract Services:
ATTACHMENT_F_BUDGET_instruction_Community_Based_Services.docx