SFY 2015 Reporting Requirements and

Reporting Document Links


Visit:  Fiscal Reporting Requirements (.pdf)
You will find information on:

  • Fiscal Report Forms
  • Due Dates
  • Defining and Reporting Expenditures
  • Defining and Reporting "Maintenance of Effort" for State Formula funds

Also accessed through the link: Fiscal Reporting Requirements (.pdf)

  • Certified Affidavit of Revenue
  • Certified Affidavit of Revenue and Expenditures (for Family Planning and Maternal Child Health, only)

Note: All affidavits should be submitted to Kevin Shaughnessy at kshaughnessy@kdheks.gov.
Click the "Submit Form" button at the top of each form, or email the Certified Affidavit of Expenditures to Kevin Shaughnessy.


State Formula
| Child Care Licensing Program
| Chronic Disease Risk Reduction
| Community Primary Health Care, Prescription Assistance and Dental Assistance
| Family Planning
| Healthy Families
| HIV Prevention Program
| Immunization Action Plan
| Maternal & Child Health
| Personal Responsibility Education Program (PREP)
| Pregnancy Maintenance Initiative
| Public Health Emergency Preparedness
| Ryan White
| STI-HIV Control Programs
| Teen Pregnancy Targeted Case Management Report
| WIC/ICP Collaborative