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AMERICAN RESCUE PLAN ACT (ARPA) ADULT DAY HEALTH CARE (ADHC) PROGRAMS AND AIDS ADULT DAY HEALTH CENTERS (AADHC) QUARTERLY SURVEY

Directions for completing the Quarterly Survey
For the Quarterly Survey, please respond to all survey questions. Documentation that reflects the total amount spent during the quarter must be submitted with your survey responses.

Valid Documentation


The table below shows examples of valid required documentation and supporting documentation.  Please note, this list is not exhaustive.  If you do not see a required documentation example below, please submit a receipt of spending for your spending strategies from the quarter.  Required documentation must reflect payments, such as receipts.  The amounts from the required documentation must equal the amount of spending for the quarter.
Please note, documentation which fails to show payment, such as an unpaid invoice without a corresponding receipt is considered invalid and will not be accepted.

 
REQUIRED DOCUMENTATION EXAMPLES SUPPORTING DOCUMENTATION EXAMPLES
  • Record of bonuses paid out to staff
  • Bonus announcement
  • Payment for job posting ads (ex. Indeed)
  • Job posting ad
  • Payment for transportation for employees (Lyft, Uber, tax receipts)
  • Notice of benefit
  • Receipt of education/training for staff
  • Copy of certificate of course completion
  • Gym reimbursement documentation
  • Notice of benefit
  • Staff lunch receipt
  • Lunch and Learn notice/flyer, announcement, etc.
  • Receipts from hosted events
  • Sign-up sheets, Calendar of events
  • Receipts for marketing materials developed
  • Digital/print brochures developed
  • Receipts for supplies purchased for community integration activities
  • Notice of community integration activity expansion
  • Record of payment to trainers/consultants
  • Signed documentation of contract and/or agreement with vendor.
  • Receipt for transportation to and from community activities
  • Notice of community integration activity expansion
  • Receipts for purchased PPE supplies
  • Inventory list