Free Form 02AG023E (SUOA-S-56-C) - Oklahoma


File Size: 336.2 kB
Pages: 2
File Format: PDF
State: Oklahoma
Category: Court Forms - State
Author: Planning Research and Statistics (405) 521-3552
Word Count: 352 Words, 2,633 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.okdhs.org/NR/rdonlyres/DE4B8AE9-C866-40FC-B768-5A9CFAD59286/0/02AG023E.pdf

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Preview Form 02AG023E (SUOA-S-56-C)
*02AG023E-001*
OKLAHOMA DEPARTMENT OF HUMAN SERVICES
OLDER AMERICANS ACT (OAA) TITLE III

Service Expenditures Profile
Grandparents and other relatives raising children is abbreviated GRRC.

Area Agency on Aging (AAA) name
Service category Registered services 1. Personal care 2. Homemaker 3. Chore 4. Home delivered meals 5. Adult day care/health 6. Case management 7. Congregate meals 8. Nutrition counseling 9. Assisted transportation Total registered services Non-registered other services 10. Transportation* 11. Legal assistance 12. Nutrition education 13. Information and assistance 14. Outreach 15. Funded other (a) Advocacy/representation (b) Education/training (c) Education/information and assistance (d) Health promotion (e) Medication management (f) Home repair (g) Coordination of services (h) Title III caregiver program · Information about services · Information about services - GRRC · Access to services · Access to services - GRRC · Counseling · Counseling - GRRC · Support groups · Support groups - GRRC · Training · Training - GRRC · Respite · Respite - GRRC · Supplemental services · Supplemental services - GRRC Total non-registered other Title III B Title III C-1

OAA fiscal year
Title III C-2 Title III D Title III E

0

0

0

0

0

0

0

0

0

*Title III C-1 program income only can be used to pay for transportation services. OKDHS revised 12-15-2003 02AG023E (SUOA-S-56-C)

02AG023E (SUOA-S-56-C) Total Title III expenditure (excludes match) 1 Total all funds expended (includes match) 2

Service Expenditures Profile Percentage total service expenditure 3 Total program income 4

Service category Registered services 1. Personal care 2. Homemaker 3. Chore 4. Home delivered meals 5. Adult day care/health 6. Case management 7. Congregate meals 8. Nutrition counseling 9. Assisted transportation Total registered services

0

0

0

0

Non-registered other services
10. 11. 12. 13. 14. Transportation Legal assistance Nutrition education Information and assistance Outreach (a) (b) (c) (d) (e) (f) (g) (h) Advocacy/representation Education/training Education/information and assistance Health promotion Medication management Home repair Coordination of services Title III caregiver program · Information about services · Information about services - GRRC · Access to services · Access to services - GRRC · Counseling · Counseling - GRRC · Support groups · Support groups - GRRC · Training · Training - GRRC · Respite · Respite - GRRC · Supplemental services · Supplemental services - GRRC

15. Funded other

Total non-registered other

0

0

0

0

2

OKDHS revised 12-15-2003