Skip Navigation LinksAgreement-Funding-Applications-TitleV

Maternal, Child and Adolescent Health Division

MCAH & BIH Agreement Funding Applications 

Below is information on agreement funding applications (AFA) and forms specific to 2021-22 fiscal year.
​Timeline
​Process
May 21, 2021

Release of MCAH SFY 2021-22 AFA notification. 

The following AFA forms links are located below:

  • AFA Checklist
  • Agency Information Form
  • MCAH Attestation of Compliance with the Sexual Health Education Accountability Act of 2007 Form
  • ICR Certification Form
  • Annual Inventory Form
  • Subcontract Agreement Transmittal Form
  • Use of Certified Public Funds Form
  • Government Agency Taxpayer ID Form
  • TXIX Attestation Form

The Statement of Work (MCAH and BIH), Community Profile, MCF Justification example letter, and budget template are attached to the AFA email.

June 2, 2021

Last day to register for AFA budget meeting – Optional Budget Meetings can be provided for technical assistance necessary to discuss local agency budgets. If a meeting is requested, Local MCAH/BIH Program and Fiscal representatives with decision making authority are required to attend. MCAH and BIH AFA Budget Meetings will be offered via teleconference. Meetings will be scheduled on a first-come, first-served basis between June 9 – 16, 2021. 
June 9-16, 2021
MCAH/BIH AFA budget meetings (optional)
June 24, 2021
AFA packages due back to MCAH. If needed, please contact your contract manager for any extensions.
June 24, 2021
Start of MCAH CM/PC AFA package review and approval.
Resources

Contact:

MCAHFinAct@cdph.ca.gov

(916) 440-7259

Page Last Updated :