FC Emergency Funds Authorization Handout.pdf
PDF 534 KB Posted
- Attached to
- Master Agreement AZ|CTR055538
- Contract number
- CTR055538
- Issued by
- Arizona
About this file
This document is an Emergency Flex Funds Authorization form from the Arizona Department of Child Safety (DCS) related to the Family Connections (FC) program. The form provides guidelines for emergency financial assistance to families, specifically outlining the process for requesting and utilizing up to $300 in emergency funds within a six-month service period.
The emergency funds are designed to address concrete needs of families that cannot be met through other community resources or in-kind donations. Eligible services include childcare, utility assistance, rent assistance, clothing/uniform vouchers, food boxes, household supplies, cell phone minutes, homemaking, housing services, and cleaning or repair services when a household is unsafe. The document requires detailed documentation, including itemization of needed items, justification for each expense, exact amounts, and signatures from the FC Consultant and Supervisor. All expenses must be supported by receipts and submitted for reimbursement through monthly billing, with additional approval required if the Department of Child Safety (DCS) is involved in the case.
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Text version
A service component of the Family Connections program is the availability of Emergency Flex Funds. These funds are outlined in the Scope of Work, Section 2.15:
FC Emergency Flex Funds may be used to purchase needed items or resources that will address concrete needs of a family that relate to meeting the child’s basic needs, child safety and/or Conditions for Return, when these resources are not available through other sources, including community resources, or in-kind donations from community collaborators. Use of FC Emergency Flex Funds will not exceed $300 per referred family in a six (6) months service period.
Concrete services include, but are not limited to, childcare, utility assistance, rent assistance, clothing/uniform vouchers, food boxes and nutrition, household furniture and supplies, cell phone minutes, homemaking/housekeeping, housing services, cleaning and repair service when the household is unsafe or unsanitary. For more examples of concrete services, please reference Family Connections Program Manual;
Chapter 8.
Remember:
Expenses, including copies of receipts, shall be submitted for reimbursement to DCS via the monthly billing. In some instances, an approved item may not be approved due to no receipt being available.
The FC provider shall maintain in the family record original receipts for all concrete supportive services paid through the FC contract.
An assessment is necessary to identify concrete needs.
If DCS is involved, approval from DCS MUST be attached and can be in the form of an email. If DCS is not involved, the
Contractor will produce supporting documentation at the request of DCS.
Itemize anything listed Document why items are needed
Exact amount needed for items
Required signatures by FCC and Supervisor.
File details come from the government source that posted it. Updated .