This page is intended to serve as a resource for our Alcohol, Drug and Tobacco Program funded contractors. Click on doument names to download.
FY 2010-2011 Contract Renewal Forms
Division of Alcohol, Drug and Tobacco contractors are required to use standard forms from the Division to contract for the current fiscal year. Copies of all of the required forms are located below.
Exhibit A - Logic Model Forms
 Exhibit A - Logic Model TEMPLATE
Exhibit A - Logic Model - PRIMARY PREVENTION TEMPLATE
Exhibit A - Treatment Program Design
 Exhibit B Detail By Funding Source
Exhibit B Revenue and Expense Summary
Exhibit B Budget Detail
Additional Forms - ALL PROVIDERS
Signature Authorization Form
Assurances Regarding the No Unlawful Use of Drugs or Alcohol
Certification of Smoking Prohibitions
Contract Compliance Policy
Acknowledgement of Contract Compliance Policy
Certification of Non-Acceptance of Tobacco Funds
 Declaration for Contractors - Living Wage Ordinance
Additional Forms - PRIMARY PREVENTION PROVIDERS ONLY
Certification of Compliance with the Strategic Prevention Framework
Certification of Compliance with SDFSC Requirements |
