Please refer to the Grant Award Notification information to complete the top section of this form.

As a reminder, ERs are no longer required to be accompanied by the Detailed Summary of Mental Health (MH) Expenditures Worksheet, and the Community Mental Health Affiliates (CMHA) and/or Private Providers (PP) Expenditures Worksheet/LEA Transfer Service Provider Worksheet.

It is, however, the responsibility of the Grantee to maintain these required supplemental forms within their agency for audit purposes, as the CDE may request submission of these forms at any time.

As a reminder, ERs are no longer required to be accompanied by the Detailed Summary of Mental Health (MH) Expenditures Worksheet. It is, however, the responsibility of the Grantee to maintain these required supplemental forms within their agency for audit purposes, as the CDE may request submission of these forms at any time.

As a reminder, ERs are no longer required to be accompanied by the Community Mental Health Affiliates (CMHA) and/or Private Providers (PP) Expenditures Worksheet/LEA Transfer Service Provider Worksheet.

It is, however, the responsibility of the Grantee to maintain these required supplemental forms within their agency for audit purposes, as the CDE may request submission of these forms at any time.

Within this one spreadsheet, you will find the blank worksheet, instructions, and a sample.