Budget Forms template.pdf
PDF 129 KB Posted
- Attached to
- Kaʻū ʻOhana Support Services
- Solicitation number
- P27000617
- Issued by
- Hawaii County, Hawaii
About this file
This is a budget forms template document prepared by the State of Hawaii for use in state and local contract opportunities. The template is designed for applicants and providers submitting proposals in response to Requests for Proposals (RFPs), establishing standardized budget documentation requirements for contract awards. The forms include comprehensive budget categories spanning personnel costs, other current expenses, equipment purchases, and motor vehicle purchases, with detailed justification requirements for payroll taxes, assessments, fringe benefits, inter-island travel, administrative contractual services, and program activities.
The template provides structured budget justification forms (SPO-H-205 series) requiring itemized breakdowns of salary expenses, mandatory and discretionary payroll assessments including Social Security, unemployment insurance, workers' compensation, and health insurance, as well as travel and administrative service documentation. Applicants must designate funding sources and obtain authorization signatures from designated officials. The forms require identification of the budget period, RFP number, and contract number where applicable, with all budget requests supported by detailed justification and comments. The template does not specify preset amounts, award dates, contract terms, or renewal provisions, as it functions as a standardized format to be completed by individual applicants responding to specific contract opportunities such as the Kaʻū ʻOhana Support Services contract for community-based child welfare prevention and family support services in Hawaii's Kaʻū district.
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Other files
| File | Type | Posted |
|---|---|---|
| Kau Ohana Support Services-Work Plan EDITABLE.docx | DOCX document | |
| RFP SSD.26.POS.9886_Kau Ohana Support Services.pdf |
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Text version
BUDGET
(Period _______________ to _________________)
Applicant/Provider:
RFP No.:
Contract No. (As Applicable):
B U D G E T Budget C A T E G O R I E S Request
(a) (b) (c) (d)
A. PERSONNEL COST
1. Salaries
2. Payroll Taxes & Assessments
3. Fringe Benefits
TOTAL PERSONNEL COST
B. OTHER CURRENT EXPENSES
1. Airfare, Inter-Island
2. Airfare, Out-of-State
3. Audit Services
4. Contractual Services - Administrative
5. Contractual Services - Subcontracts
6. Insurance
7. Lease/Rental of Equipment
8. Lease/Rental of Motor Vehicle
9. Lease/Rental of Space
10. Mileage
11. Postage, Freight & Delivery
12. Publication & Printing
13. Repair & Maintenance
14. Staff Training
15. Substance/Per Diem
16. Supplies
17. Telecommunication
18. Transportation
19. Utilities 21.
22.
23.
TOTAL OTHER CURRENT EXPENSES
C. EQUIPMENT PURCHASES
D. MOTOR VEHICLE PURCHASES
TOTAL (A+B+C+D)
Budget Prepared By:
SOURCES OF FUNDING
(a) Budget Request Name (Please type or print) Phone
(b)
(c) Signature of Authorized Official Date
(d) Name and Title (Please type or print)
For State Agency Use Only
TOTAL REVENUE
Signature of Reviewer Date
Form SPO-H-205 (Effective10/01/98)
BUDGET JUSTIFICATION
PERSONNEL: PAYROLL TAXES, ASSESSMENTS, AND FRINGE BENEFITS
Applicant/Provider:
RFP No.: Period: to Date Prepared:
Contract No.:
(As Applicable)
PAYROLL TAXES & ASSESSMENTS:
SUBTOTAL:
FRINGE BENEFITS:
SUBTOTAL:
TOTAL:
JUSTIFICATION/COMMENTS:
TYPE TOTAL
BASIS OF
ASSESSMENTS OR
FRINGE BENEFITS
As required by law
As required by law
As required by law
As required by law
As required by law As required by law
OF
SALARY
As required by law
As required by law
As required by law
As required by law
Temporary Disability Insurance
Health Insurance
Retirement
Unemployment Insurance (Federal)
Social Security
Unemployment Insurance (State)
Worker's Compensation
Form SPO-H-206B (Effective 10/01/98)
TRAVEL - INTER-ISLAND
Applicant/Provider:
RFP No.: Period: to Date Prepared:
Contract No.
(As Applicable)
NO.
PER DIEM
OR SUBSISTENCE
AIR
FARE TRANSPORTATION TOTAL
DAYS A B C A+B+C
JUSTIFICATION/COMMENTS:
NAME OF EMPLOYEE & TITLE DESTINATION
TOTAL:
Form SPO-H-206C (Effective 10/01/98)
CONTRACTUAL SERVICES - ADMINISTRATIVE
Applicant/Provider:
RFP No.: Period: to Date Prepared:
Contract No.
(As Applicable)
TOTAL BUDGETED JUSTIFICATION/COMMENTSNAME OF BUSINESS OR INDIVIDUAL
TOTAL:
SERVICES
PROVIDED
Form SPO-H-206E (Effective 10/01/98)
PROGRAM ACTIVITIES
Applicant/Provider:
RFP No.: Period: to Date Prepared:
Contract No. :
(As Applicable)
AMOUNTDESCRIPTION JUSTIFICATION/COMMENTS
Total:
Form SPO-H-206H (Effective 10/01/98)
| spoh-205 Budget |
| spoh205 |
| spoh-205A by Source |
| spoh205a |
| spoh-206B Personnel Fringe Benefits |
| spoh206B |
| spoh-206C Inter-Island Travel |
| spoh206C-e97 |
| spoh-206E Admin Costs |
| spoh206E |
| spoh-206H Program Activities |
| spoh206H |
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