Form Fcr 12ffa - Total Program Cost Display

Download a blank fillable Form Fcr 12ffa - Total Program Cost Display in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Fcr 12ffa - Total Program Cost Display with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
TOTAL PROGRAM COST DISPLAY (FCR 12FFA)
SUBMIT ONE FOR EACH PROGRAM
Number of months in cost reporting period ______________
PROGRAM NAME (IF DIFFERENT)
CORPORATE NUMBER
CORPORATE/LICENSEE NAME
AGENCY FISCAL YEAR
PROGRAM NUMBER
(MO /YR - MO /YR)
(4)
(1)
(2)
(3)
(5)
(6)
(7)
LINE
TOTAL
(SUM OF
LINE ITEMS OF COST
ADMINISTRATION
RECRUITMENT
TRAINING
SOCIAL WORK
EXPLANATION
COLS. 3
THRU 6)
0
Executive Director Salary
100a
0
Assistant Director Salary
100b
0
Administrator Salary
100c
0
All Other Administrative Salaries
100d
0
Recruitment Payroll
101
0
Training Payroll
102
0
Administrative Contracts
110
0
Telephone
121
0
Postage and Freight
122
0
Office Supplies
123
0
Conferences, Meetings, In-Service Training
132
0
Memberships, Subscriptions, Dues
133
0
Printing, Publications
134
0
Bonding, General Insurance
135
0
Advertising
137
0
Miscellaneous
138
0
0
0
0
0
0
Building and Equipment Payroll
200
0
Building Rents and Leases
211
0
Acquisition Mortgage Principal & Interest
214
0
Property Appraisal Fees
215
0
Property Taxes
216
Page 1 of 2
FCR 12FFA (2/05)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Fcr 16 - Group Home/short Term Residential Therapeutic Program (strtp) Shelter Costs Declaration And Survey Form Fcr 16 - Group Home/short Term Residential Therapeutic Program (strtp) Shelter Costs Declaration And Survey Legal
Form Hud-40201 - Youthbuild Program Reports Part 10 Actual Costs (final Report) Form - U.s. Department Of Housing And Urban Development Form Hud-40201 - Youthbuild Program Reports Part 10 Actual Costs (final Report) Form - U.s. Department Of Housing And Urban Development Legal
Form Sr 3 - Group Home Program Costs Report Form Sr 3 - Group Home Program Costs Report Legal
Form Fcrs-1 - Long Form Combined Report System Form Fcrs-1 - Long Form Combined Report System Financial
Form Fcr 3ffa - Days Of Care Schedule Form Fcr 3ffa - Days Of Care Schedule Legal
Form Fcr 1ffa - Foster Family Agency - Data And Certification Sheet Form Fcr 1ffa - Foster Family Agency - Data And Certification Sheet Legal
Form L-4105 - Stc Segregated Cost Computation Sheet (s.f. Costs) - Michigan Department Of Treasury Form L-4105 - Stc Segregated Cost Computation Sheet (s.f. Costs) - Michigan Department Of Treasury Financial
Form Ao 133 - Bill Of Costs - 2009 Form Ao 133 - Bill Of Costs - 2009 Legal
Form 1018-1mc - Bond For Costs Form 1018-1mc - Bond For Costs Legal
Form Hud-52427 - Actual Development Cost Certificate Form Hud-52427 - Actual Development Cost Certificate Legal

Related Categories

Parent category: Legal
Download
Go
Page of 4