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1
Use the table below to document each expense incurred by this project. Please be sure to fill out all details for each item.
Supportive Service expenses must have a response in column H.
2
Project Label
Item Name/Number
Date incurredCategoryClient Level ExpenseCostFull description of expense with quantities, hours, or fraction of the expense
Description of documentation (receipt, invoice, contract etc)
Service description CategorySpecial Activities
3
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
4
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
5
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these services in the past quarter: Cell phones and service, internet, gas or mileage for participants, legal costs, driving fines or fees, car insurance, or vehicle registration?
6
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
7
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
8
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
9
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
10
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
11
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities//
12
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
13
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
14
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
15
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
16
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
17
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
18
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
19
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
20
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
21
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
22
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
23
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
24
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
25
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
26
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
27
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
28
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
29
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
30
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
31
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
32
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
33
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
34
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
35
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
36
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
37
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
38
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
39
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
40
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
41
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
42
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
43
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
44
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
45
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
46
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
47
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
48
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
49
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
50
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
51
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
52
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
53
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
54
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
55
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
56
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
57
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
58
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
59
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
60
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
61
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
62
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
63
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
64
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
65
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
66
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
67
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
68
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
69
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
70
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
71
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
72
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Project did not use any special activities
73
Housing – Short-term (services and/or leasing for youth residing in TH/RRH)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
74
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these services in the past quarter: Cell phones and service, internet, gas or mileage for participants, legal costs, driving fines or fees, car insurance, or vehicle registration?
75
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these services in the past quarter: Cell phones and service, internet, gas or mileage for participants, legal costs, driving fines or fees, car insurance, or vehicle registration?
76
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
77
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these housing needs in the past quarter: security deposits, damage costs, cleaning supplies, housing start-up expenditures, rental or utility arrears, or utilities?
78
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these services in the past quarter: Cell phones and service, internet, gas or mileage for participants, legal costs, driving fines or fees, car insurance, or vehicle registration?
79
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these services in the past quarter: Cell phones and service, internet, gas or mileage for participants, legal costs, driving fines or fees, car insurance, or vehicle registration?
80
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
81
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these services in the past quarter: Cell phones and service, internet, gas or mileage for participants, legal costs, driving fines or fees, car insurance, or vehicle registration?
82
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
83
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
84
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
85
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
86
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
87
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
88
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
89
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
90
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
91
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
92
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
93
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
94
Care coordination/case management (social services to support the development and implementation of a case plan)Did the project expend HUD funds on any of these services in the past quarter: Cell phones and service, internet, gas or mileage for participants, legal costs, driving fines or fees, car insurance, or vehicle registration?
95
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
96
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
97
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
98
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
99
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities
100
Care coordination/case management (social services to support the development and implementation of a case plan)Project did not use any special activities