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  • Total Program Cost Display Fcr 12ffa - Cdss - California ... - Cdss Ca

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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.

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How to fill out the Total Program Cost Display FCR 12FFA - CDSS - California online

This guide provides a clear and supportive approach to completing the Total Program Cost Display FCR 12FFA for the California Department of Social Services. Here, you will find step-by-step instructions tailored to help you accurately fill out the required fields of the form online.

Follow the steps to complete your form accurately.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
  2. Identify the number of months in the cost reporting period. Enter this information in the designated field at the top of the form.
  3. In the 'Program Name' field, enter the name of the program if it is different from your corporate/licensee name.
  4. Fill in the 'Corporate/Licensee Name' as it appears on line 1 of the previous FCR 1FFA form submitted for the rate request.
  5. Input the 'Corporate Number' issued by the California Secretary of State in the relevant field.
  6. Provide the 'Program Number' from the FCR 2FFA, formatted in the standard structure (e.g., 1234.01.01).
  7. Complete the 'Agency Fiscal Year' by noting the beginning and ending month and year for your agency's most recent fiscal year (e.g., 07/2001 - 06/2002).
  8. For each line item of cost in Column 1, enter the expenses incurred during the agency’s fiscal year, ensuring to fill in all relevant costs, including salaries and operational expenses.
  9. For each applicable line item, make sure to report any payroll, taxes, and benefits when entering salary figures.
  10. At the end of the form, calculate the total expenses for all line items in Column 2 and enter this sum in the designated space.
  11. Review all entries for accuracy, ensuring that costs are correctly allocated to the respective categories.
  12. Once all fields are completed and reviewed, you can choose to save your changes, download the form, print it, or share it as required.

Complete your Total Program Cost Display FCR 12FFA form online today to ensure accurate reporting of your program's expenses.

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