INDIANA DEPARTMENT OF CHILD SERVICES BUDGET JUSTIFICATION WORKSHEET Agency Name:_________________________________________________ Service Standard Funding Period: From July 1, 2011 to June 30, 2013 (One year budget for both years) Budget A. Personnel 1. Salaries & Wages 2. Fringe Benefits (A) Position/Job Title* (B) Average # of Month for Program (C) Salary/ Wage per month for Program (D) # of (E) Salary/ Wage For Program (F) Fringe Benefit Rate (G) Fringe Benefit Cost *Please list each staff position individually. Salaries and Wages: Total Fringe: A. 3. Consultant and Contract Services (A) (B) (C) (D) (E) Total Consultant and Contract Services:
Budget (Continued If Necessary) Agency Name:_________________________________________ Service Standard Title:_________________________________ A. Personnel 1. Salaries & Wages 2. Fringe Benefits (A) Position/Job Title* (B) Average # of Hours/ Month for Program (C) Salary/ Wage per month for Program (D) # of (E) Salary/ Wage For Program (F) Fringe Benefit Rate (G) Fringe Benefit Cost *Please list each staff position individually. (H) Full-Time Equivalents by Position: Title of Position INDIANA DEPARTMENT OF CHILD SERVICES
Budget (Continued) B. Direct Costs (Continued) 5. Training (Show factors included and computation) Calculations/Descriptions: 6. Telephone: Postage: Total: 7. Share of Equipment Purchase Calculations/Descriptions: 8. Other Administrative Expenses Calculations/Descriptions: 9. Other Direct Costs—Specify (This category cannot exceed 5% of the total request) Calculations/Descriptions: C. Indirect Costs (List each indirect cost separately. See instructions re: expenses Compute your Actual Indirect Cost % ____ (Total Indirect Costs / Total Direct Costs = Percentage) 1. Accounting Services Calculations/Descriptions: 2. Other Indirect Costs (Attach itemization if more space is needed.) Calculations/Descriptions: INDIANA DEPARTMENT OF SERVICES JUSTIFICATION WORKSHEET Agency Name:______________________________________ Service Standard BUDGET SUMMARY – Total Proposed Program Costs (totals from worksheets) A. Personnel
Please use the budget justification worksheets to calculate the amounts entered on this page. The following information is to be entered in the Total Proposed Program Costs column: Item A. Personnel Costs Salaries & Wages – Enter the total projected salary and wage expenses for personnel calculated on the budget justification worksheet. Fringe Benefits – Enter the total projected fringe benefit expenses for personnel calculated on the budget justification worksheet. Consultant/Contract Services -Enter all consultant and contracted services that will be purchased by applicant in order to provide the proposed services. Calculate at cost without fringe benefits. Item B. Direct Costs Travel Expenses Staff – Enter the total projected staff travel expenses for this program as calculated on the budget justification worksheet. Clients – Enter the total projected client travel/transportation expenses for this program as calculated on the budget justification worksheet. Consumable Supplies and Printing – Enter the total projected expenses for consumable supplies and printing as calculated on the budget justification worksheet. Space Costs (Rent, Utilities, and Custodial) - Enter the total projected expenses for space costs as calculated on the budget justification worksheet. Insurance – Enter the total projected expenses for business and professional insurance as calculated on the budget justification worksheet. Staff Training - Enter the total projected expenses for staff training as calculated on the budget justification worksheet. Telephone & Postage - Enter the total projected expenses for telephone and postage as calculated on the budget justification worksheet. Rental/Lease/Prorated Share of Equipment Purchase - Enter the total projected expenses for the rental/lease/prorated share of purchased equipment as calculated on the budget justification worksheet. Other Administrative Expenses – Enter the total projected expenses for other administrative expenses as calculated on the budget justification worksheet. Other – Specify – Enter the total projected expenses for other specified costs as calculated on the budget justification worksheet. Item C. Indirect Costs (Enter the Actual Percentage of Direct Cost from. Accounting Services – Enter the total projected expenses for accounting services as calculated on the budget justification worksheet. Other Indirect Costs – Enter the total projected expenses for other indirect costs as calculated on the budget justification worksheet. Item D. Program Costs – Enter the sum of the projected expenses listed in the Proposed Program Costs. This total is to include all known and anticipated costs required to provide the services described in this proposal.