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Forms, publications and instructional material related to the DMHS community services contracting program are made available on this website for your easy reference and download. If you encounter any difficulty with your selections, or have additional questions, please contact the DMHS Bureau of Contract Administration at (609) 777-0628.

NOTE: Some documents are stored in Adobe Acrobat PDF format. In order to view and print PDF formatted documents, you must have a PDF viewer (Adobe Acrobat Reader) on your system, which is available at no charge from Adobe. Click on the image below to download the latest version of Acrobat Reader.


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Standard Language Document (contract "boilerplate" agreement)

Public Law 2005, Chapter 51 (McGreevey Executive Order 134) Forms:
(NO LONGER APPLICABLE TO NONPROFIT AGENCIES - FEBRUARY 2008)
° Instructions
° Certification & Disclosure Form
° Ownership Disclosure Form

Annual Charities:
° Filing Information
° Registration 

Affirmative Action AA302 Forms and Instructions:
° Employee Information Report - AA302
° AA302 Instructions 

Agreement Form and Instructions for Electronic (ACH) Payments:
° Form
° Instructions

Business Associate Agreement
Contract Information Form
Annex A Forms
QCMR Forms & Documentation

Program and Unit of Service Definitions

Annex B - DMHS Budget Matrix:
° Budget Matrix Software Application
° User Manual (REVISED Manual Coming Soon!)

DMHS Budget Schedules

Contract Modification Forms:
° Modification Signature Page
° Budget Categories Before/After Summary
° Program Elements Before/After Summary 

DMHS Cluster Form
Report of Expenditures (ROE) Summary Form
Annex C - Supporting Information
Permanent File Checklist for Annex C
Notice of Licensed Public Accountant (NLPA) Form
Address/Phone List for DMHS Contract Providers, By County 



Click here for the Department of Human Services' Contract Information & Policies website
 
 
 
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