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WIC Contract Management Binder (CMB) FFY 2015

For use with contracts beginning October 1, 2014.

This page provides links to the forms and instructions for the California Department of Public Health (CDPH), Women, Infants and Children (WIC) Program Funding Application for FFY 2015 and additional pages and links to the Contract Management Binder (CMB). 

  • Chapter 1 -  Funding Application
  • Attachment 1 - Required Documents Checklist
  • Attachment 2 - Certification of Funding Application
  • Attachment 5 - Agency Information
  • Funding Worksheets
  • Instructions for Funding Worksheet
  • Attachment 6 - Funding Worksheet YR 1
  • Personnel
  • Instructions for Personnel Documents
  • Attachment 7 - Personnel Justification Worksheet YR 1
  • Attachment 8 - Justification of Staffing Levels YR 1
  • Operating Expenses
  • Instructions for Operating Expenses Budget Detail Worksheet
  • Attachment 9 - Operating Expenses Budget Detail Worksheet YR 1
  • Instructions for Space Costs for Operating Expenses Worksheets.pdf
  • Attachment 10 - Space Costs for Operating Expenses YR 1
  • Attachment 11 Additional Space Costs for Operating Expenses Worksheet YR 1
  • Capital Expenditures
  • Instructions for Capital Expenditures Budget Detail Worksheet
  • Attachment 12 - Capital Expenditures Budget Detail Worksheet YR 1
  • Attachment 13 - Justification of Capital Expenditures YR 1
  • Subcontract
  • Instructions for Subcontract Documents
  • Attachment 14 - Subcontracts Budget Detail Worksheet YR 1
  • Attachment 15 - Justification of Subcontract YR 1
  • Attachment 16 - Request for Authorization to Subcontract
  • Additional Forms
  • Attachment 17 - Languages Spoken by Participants and Staff
  • Attachment 21 - Drug-Free Workplace Certification
  • Attachment 22 - USDA Certification Regarding Debarment
  • Attachment 23 - Payee Data Record - STD 204
  • Attachment 24 - Contractor Certification Clauses - CCC-307
  • Attachment 25 - Certification Regarding Lobbying
  • Attachment 26 - Disclosure of Lobbying Activities
  • Attachment 27 - Nondiscrimination Compliance Statement
  • Attachment 28 - Civil Rights Complaint Discrimination Report
  • Attachment 29 - Agreement to Full Use of Federal Funds
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    Last modified on: 5/28/2014 11:59 AM