Common use of Templates Clause in Contracts

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 - Family Intensive Treatment Services Monthly Progress Report Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting Template

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 - Family Intensive Treatment Services Monthly Progress Report – Deleted, effective 11/29/2016 Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting TemplateTemplate Template 17 - FIT Reporting Template Template 18 - Transitional Voucher Quarterly Report

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan Plan, including Template 4 Supplement Behavioral Health Catalog of Care Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 - Family Intensive Treatment Services Monthly Progress Report – Deleted, effective 11/29/2016 Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting TemplateTemplate Template 17 - FIT Reporting Template Template 18 - Deleted, effective 5/18/2017 Template 19 – Partnerships for Success Grant Drug Epidemiology Network (DENs) Report – Not applicable to KH225 Template 20 – CMHSOC Quarterly Report Template – Not applicable to KH225 Template 21 – Monthly Care Coordination Report

Templates. Template 1 - Provider Tangible Property Inventory Form Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting Template Overview and Instructions Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant Template 4 - Managing Entity Annual Business Operations Plan Plan, including Template 4 Supplement Behavioral Health Catalog of Care Template 5 - ALF-LMH Forms Template 6 - BNet Participant Forms Template 7 - BNet Alternative Service Forms Template 8 - Family Intensive Treatment Services Monthly Progress Report – Deleted, effective 11/29/2016 Template 9 - Local Match Calculation Form Template 10 - Managing Entity Monthly Fixed Payment Invoice Template 11 - Managing Entity Monthly Progress Report Template 12 - Managing Entity Monthly Expenditure Report Template 13 - Managing Entity Monthly Carry Forward Expenditure Report Template 14 - Cost Allocation Plan Template 15 - Managing Entity Spending Plan for Carry Forward Report Template 16 - Women’s Special Funding Reporting TemplateTemplate Template 17 - FIT Reporting Template Template 18 - Deleted, effective 5/18/2017 Template 19 – Partnerships for Success Grant Drug Epidemiology Network (DENs) Report – Not applicable to KH225 Template 20 – CMHSOC Quarterly Report Template – Not applicable to KH225 Template 21 – Monthly Care Coordination Report Template 22 – Forensic Diversion Report Template 23 – Conditional Release Report Template 24 – Disaster Behavioral Health (DBH) Managing Entity Supplemental Invoice and Expenditure Report