Contracted Agency Forms

Required Documentation
The following documents are to be submitted every quarter via email to Anna Leavitt and an original signed copy mailed to:
CAPSAW
250 S. Wayne Ave.
Suite 101
Waynesboro, VA 22980

Forms & Reports

  1. CAPSAW Funds Reimbursement Request Form FY 14
  2. CAPSAW Program Financial Report FY 14
  3. CAPSAW Quarterly Report Form Cover Sheet FY 14
  1. CSBG Unduplicated Client by Locality Report FY 14
  2. FY 23 Client Demographic Report
Submission Deadlines
  • First quarter submission deadline is October 15, 2013 for the period of July 1, 2013 through September 30, 2013
  • Second quarter submission deadline is January 15, 2014 for the period of October 1, 2013 through December 31, 2013
  • Third quarter submission deadline is April 15, 2014 for the period of January 1, 2014 through March 30, 2014