Samples File: Fiscal
The Fiscal Samples provide assistance to delegate agencies in updating their finance files as they relate to the Title X program. The list currently reflects some of the more common findings from site evaluations, such as the need for specific policies and procedures, cost allocation methodologies, time and activity reporting, and schedule of discounts. These documents are intended to provide agencies a starting point in complying with the regulations.
- Cost Allocation Definitions - PDF
- Cost Allocation Plan - Word
- Equipment Inventory Form - Word
- 2009 Federal Poverty Guidelines - PDF
- Sample CHC Denial Analysis - Excel
Removed for editing January 2010. Please check back for the updated version.
- 2009 Sliding Fee Scale - Excel
Accounting Policies & Procedures from Planned Parenthood Los Angeles
Download the entire Manual:
- PPLA Acounting Policies & Procedures Manual - Zip file
You will need a program that can extract ("unzip") the compressed files; your IT department should be able to help you.
Or download the individual section you need:
All files are in Microsoft Word.
- A. General
- B. General Accounting
- C. Assets
- D. Liabilities
- E. Revenues
- F. Expenses
Federal Reporting Forms
Internal Control Documents
Time & Activity Reporting
- Hourly Attestation - Excel
- Salaried Attestation - Word
Time Study Procedures and Templates
Download the entire package as a zip file, or only the file you need.
- Time Study Package - Zip file
- Time Study Procedures - Word
- Time Study Template - Protected Fields - Excel
Data can be entered, but calculations are locked
and cannot be edited
- Time Study Template - Fully Editable - Excel
All fields are open and can be edited
Want to help out?
CFHC invites agencies to make their materials available to others throughout the Title X system. For Fiscal and Financial items, this can be arranged by contacting Stephanie Ceponis, Site Financial Analyst, Finance Division at 510-486-0412 x4534, email ceponiss@cfhc.org.