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Click HERE to learn more about services and programs offered by the Division on Women.

 

Click on the links below for Annex A and other program specific reports.

 

ANNEX A INSTRUCTIONS: For Providers

 

SECTION 1 OF THE ANNEX A: http://www.nj.gov/dcf/providers/contracting/forms/

Should be completed and signed by the managing agency (host agency) of your program.  The questions and information asked in this section pertain to your host agency NOT your specific program.

 

SECTION 2 OF THE ANNEX A:  This section asks questions ONLY about your specific program.  Some of the questions have been pre-filled for you.  Please complete/answer the remaining areas with grey shading.

 

Displaced Homemaker Programs Annex A-Section 2 (ONLY) (see attached)

 

Sexual Assualt Services (SASP) Formula Grant Programs

Sexual Assault Abuse and Rape Care (SAARC) Programs

Rape Prevention and Education (RPE) Programs

  • Complete Annex A-Section 1 (click here)
  • Complete Annex A-Section 2.1 (you will receive this from your contract administrator)
  • Section 2.2 through 2.5 does not apply to this program. Instead please use the following:
    • Attached C (previously submitted for period November 1st through October 31st)
    • Attached D (previously submitted for period November 1st through October 31st)
    • Detailed implementation plan (previously submitted for period November 1st through October 31st)

 

 

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