Appendix B - Cost Reimbursement Cost Submittal.xlsx

This is a cost reimbursement cost submittal worksheet (Appendix B) for the Health Enterprise Zone Community Health Worker Programs, designed as a 2-year grant period application. The document provides comprehensive instructions for completing a detailed budget across three primary cost categories: Personnel Costs, Operating Costs, and Indirect Costs. The worksheet is structured to capture granular financial information, requiring applicants to itemize expenses in categories such as wages, salaries, benefits, occupancy, communications, supplies, equipment, travel, and other operational expenses.

The financial template includes specific guidelines that cap indirect costs at 10% of the total budget and mandates precise documentation of each expense line item. While the provided worksheet is currently blank (showing $0.00 across all categories), it serves as a standardized template for potential grantees to outline their proposed budget for a community health worker program. The instructions emphasize thoroughness, requiring zero values to be explicitly entered and encouraging detailed itemization of expenses, with provisions for adding additional rows to accommodate comprehensive financial reporting. The document appears to be part of a grant application process for a health-focused community initiative.