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Please Check One: Child & Adolescent Services Adult Service Staff Use OnlyFunding Source Date Received: Targeted Case Management Referral Form Date: Consumer Name: Consumer Address: City, State, Zip:
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How to fill out staff use only-funding source?

01
Locate the section in the form or document where the funding source is required to be filled out.
02
Determine if there are any specific instructions provided for filling out the staff use only-funding source. Follow those instructions if they are available.
03
If no specific instructions are given, ensure that you have the necessary information or documentation regarding the funding source.
04
Enter the name or description of the funding source in the designated field. This could be the name of an organization, grant, or any other funding entity.
05
If there is a field to provide additional details or comments about the funding source, you may choose to include any relevant information that might help clarify the source or its purpose.
06
Double-check all the information you have entered to ensure accuracy and completeness.
07
Save or submit the form as required.

Who needs staff use only-funding source?

01
Organizations or institutions that have a specific funding source that is exclusively designated for use by their staff may require the staff use only-funding source.
02
This could apply to government agencies, educational institutions, non-profit organizations, and other similar entities where staff members have access to separate funds for specific purposes.
03
The staff use only-funding source helps these organizations track and manage the expenses incurred by their staff members for authorized activities that are funded separately from the organization's general funds.
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