Click on any of the links below to download standard documents related to contracts and RFPs. Please be sure to check the Links to the RIGHT to access Program Specific Annex A Documents and Forms.
Please check back for ongoing additions and updates.
Please visit the NJ Department of Treasury's website to find additional forms that may be required to be submitted with some contracts. Names of these forms can be found on the Required Contract Documents Checklist below.
Division of Purchase and Property Forms
Office of Management and Budget Forms
Standard Contract Documents |
|||
Title of Document | Description | Policy Reference/ Statute/Regulation |
Effective/Revised Date |
Attestation to Contractor Requirements for Reporting | Effective 3/30/23 | ||
Attestation Regarding Claimed Exemptions | Revised 4/17/23 | ||
DCF Annex A Section 1 | General Contract and Agency Information | CPIM-P3.52 | Revised 9/1/13 |
Section 1.3 | Core Agency Personnal Information | CPIM-P3.52 | Revised 9/1/13 |
Section 2 Instructions | Program Information | CPIM-P3.52 | Revised 9/1/13 |
Section 2.2 | Program Description | CPIM-P3.52 | Revised 9/1/13 |
Section 2.3 | Performance Outcomes | CPIM-P3.52 | Revised 9/1/13 |
Section 2.4 | Program Personnel Information | CPIM-P3.52 | Revised 9/1/13 |
Section 2.5 | Level of Service | CPIM-P3.52 | Revised 9/1/13 |
LOS Report | Level of Service Report | CON-I-A-9-9.02.2007 | Revised 2/19/20 |
Proposed Budget Form for NJ DCF | Budget Template for Submission with Requests for Proposals | Revised 5/6/24 | |
Annex B (1-6 Programs) | Budget Template for Contracts with 1-6 Programs | CRM Section 5 | Effective 7/1/16 |
Annex B (7+ Programs) | Budget Template for Expanded Version for Contracts with 7 or more programs | CRM Section 5 | Effective 7/1/16 |
Annex B Tutorial |
Viewing Tutorial recommended before completing and submitting the electronic Annex B |
||
Fee for Service Fixed Rate Information Summary |
|
Effective 12/2/21 | |
Standard Language Document for Social Service Training Contracts |
Boiler Plates/Standard Terms and Conditions | CPIM-P2.01 | Revised 9/13/22 |
DCF Department Agreement with Another State Entity | Revised 7/5/22 | ||
Individual Provider Entity | Revised 7/5/22 | ||
Attestation Form to be Completed by Providers Covered by Policy Law 2021c.1 | Effective 6/7/21 | ||
Notice of Standard Contract Requirements | Revised 6/20/24 | ||
Certification on Non-Involvement Prohibited Activities in Russia or Belarus |
Revised 1/22/24 | ||
Certification Debarment | Regarding Debarment, Suspension, Ineligibilty and Voluntary Exclusion Lower Tier Covered Transactions | CPIM-PG07-2-2007 | Revised 3/1/15 |
Contract Modification Form | CPIM-P1.10 | Effective 8/31/07 | |
Disclosure Certification for Lobbyist Activities | CPIM-P4.03 | Revised 2/02/08 | |
HIPAA Business Associate Agreement | HIPAA 200-B | CPIM-P1.15 | Revised 10/2021 |
Acknowledgement of Receipt |
New Jersey State Model Procedures for Internal Complaints Alleging Discrimination in the Workplace | N.J.A.C. 4A:7-3.2 | Revised 11/15/11 |
New Jersey State Policy Prohibiting Discrimination in the Workplace | N.J.A.C. 4A:7-3.1 | Revised 8/20/07 | |
Notification of Licensed Public Accountant | Provider Identifies who completes its audit | CPIM-P7.06 | Revised 3/23/2023 |
Private/Public Donor Agreement | Provider identifies sources when a matching donation is required from the provider | CPIM-P6.01 | Effective 8/31/07 |
W-9/Questionnaire | DCF Batch Interface Uploads | Revised 10/2015 |