Compliance & Contract Forms
This page contains all necessary forms for funded and contract partners. Please bookmark this page for future reference.
If you have questions about the forms on this page, please email contracts@agencyonaging4.org.
Agency Bulletins
A4B2025-05 Bulletin - Contract Agreement SFY25-26 v2.pdfA4B2025-04 Bulletin CORRECTION - End of Year Close-Outs.pdfA4B2025-04 Bulletin - End of Year Close-Outs.pdfA4B2025-03 Bulletin - End of Year Cut-off for Payments.pdfA4B2025-02 Bulletin - Cashflow Update.pdfA4B2025-01 One-Time-Only_OTO_Fund Special Request - CORRECTION.pdfA4B2025-01 One-Time-Only _OTO_ Fund Special Request.pdfA4B2024-05 - Holiday Closure.pdfA4B2024-04 Funding DelaysA4B2024-03 Bulletin - SFY 2024-25 FundingA4B2024-02 Fiscal Closeout-MFRsA4B2024-01 Data Sunset PolicyA4B2023-07 Holiday Closure and MFR DeadlinesA4B2023-06 New Monthly Data Submission Deadline and Guidance for Collecting Clients’ Veteran Status and Making ReferralsA4B2023-05 AAA4-Funded Partners Providing Registered ServicesA4B2023-04 Preparing for Reinstatement of Performance Standards PolicyA4B2023-03 Performance Standards PolicyA4B2023-02 Older Californians Act Modernization (OCAM) Requests: Second Survey for Funded ProgramsA4B2022-09 Holiday Closure and Deadlines for Monthly Financial Reports (MFR’s)A4B2023-01 Deadline for Funded Partner Budget Revisions & Additional Information for Nutrition Funded PartnersA4B2022-08 Older Adult Recovery & Resilience (OARR) Funds: Guidance for Caregiver Services ProvidersA4B2022-07 Older Adult Recovery & Resilience (OARR) Funds: Guidance for Legal Services ProvidersA4B2022-06 Fiscal Closeout A4B2022-05 Identification NumbersA4B2022-04 ARP SurveyA4B2022-03 Russian Aggression BulletinA4B2022-02 Deadline for FP Budget Revisions and Equipment Purchases
- 4B2022-01 New Data Requirements for Legal Service Providers
- A4B2017-08: Audit Requirements
Contracts
Questions? Send all questions and all completed documents to: contracts@agencyonaging4.org.
Terms and ConditionsEXHIBIT A: Authorized Signatory FormCDA 42: Disaster AssistancePrograms
Nutrition
Nutrition Education PlanNutrition Education ReportNutrition Special EventProposed New Congregate Nutrition SiteRequest Proposed Closure of Congregate Nutrition Site
Legal Services Forms
California Statewide Guidelines for Legal AssistanceProgram Specifications and Standards
Health Insurance Counseling & Advocacy Program (HICAP)
Reporting
OAA Required Client Data
AAA4 Minimum Client Data for III-E 7.2025.pdfAAA4 Minimum Client Data for III-C and III-B 7.2025.pdfSample Intake Forms
CDA Sample Intake Title IIIB, C1, C2, DCDA Sample Intake Title IIIB,-C1, DCDA Sample Intake Title IIIB,-C2, DCDA Sample Intake Title IIIC Congregate MealsCDA Sample Intake Title III-C Home Delivered MealsCDA Sample Intake Title IIIE Caring for Elderly
Laws & Regulations
Trainings & Resources
HMIS Privacy Statements
HMIS-Privacy-Statement-HUD-Funded.pdfHMIS-Privacy-Statement-Non-HUD-Funded.pdf