Free Form 02AG026E (SUOA-S-81) - Oklahoma

*02AG026E-001*
OKLAHOMA DEPARTMENT OF HUMAN SERVICES

Audit Report Transmittal Section I. Area Agency on Aging (AAA) name. Check one:
ASCOG OEDA COEDD SWODA EODD SODA KEDDO Tulsa Grand Gateway Tulsa LTCA Areawide NODA Enid LTCA

Project name, as shown on NGA. Use separate Form 02AG026E for each report. Project type: III-B B, C, D, & E Approved project period From through Grantee name Audit period From through Does this report include a finding, weakness, and/or recommendation for corrective action? Check one: Yes. Complete Section II below. No. Sign, date, and submit this form. III-C III-D III-E C, D, and E B, D, and E Location of project (City) Grantee location (City) B, C, and E LTCA

Section II. List each audit weakness, finding, and/or recommendation below. Indicate
agreement or disagreement with each item. Show corrective action taken or planned, and estimated completion date. Describe further planned follow-up to prevent recurrence of the problem. Use back of this form for additional findings. agree disagree Corrective action is planned Corrective action: Describe any planned follow-up: agree disagree Corrective action is planned Corrective action: Describe any planned follow-up: agree disagree Corrective action is planned Corrective action: Describe any planned follow-up: Report submitted by: Signature and title Date is complete will be complete by: .

is complete

will be complete by:

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is complete

will be complete by:

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OKDHS issued 11-10-2006

02AG026E (SUOA-S-81)

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