Attachment E - Budget Form.docx

This is a Budget Form attachment for the State of Oregon's Request for Grant Application (RFGA) for Mediation and Parenting Time Support Services (S-13700-00012751). The grant period runs from October 1, 2025, through September 30, 2026. Applicants must provide a detailed budget allocation across multiple service categories including Personnel/Salary, Personnel/Benefits, Contractual/Consultant Services, and Other Expenses. The specific services for which anticipated program costs must be itemized include mediation, phone assistance with filing parenting plans and visitation enforcement, monitored and supervised visitation, neutral drop-off and pick-up services, parent education, and administrative costs. Proposals were due on June 16, 2025, and the form requires applicants to track both anticipated and actual expenses throughout the grant year.

The funding structure requires applicants to develop a total program budget with the grant amount representing 90 percent of total expenses and subgrantees providing a 10 percent match from non-Federal sources in cash or in-kind contributions. The form mandates that applicants specify match sources and document how funds will be allocated across service delivery categories. Applicants must ensure that their anticipated program costs total amounts match the requested grant amount and must be prepared to report actual expenses at year-end. The budget form emphasizes that only proposed budget for the AV Grant should be included, with no amounts from other grants or funds incorporated into calculations. Subgrantees are responsible for spending the total program amount on the awarded grant during the specified fiscal year.