State Formula
Quarterly
Submit a “Certified Affidavit of Expenditures.” This requires reporting of total local tax and other non-state, non-federal revenue and expenditures.
Refer to the Fiscal Reporting Section.
Program Contact Person
Jane Shirley, Director, Local Health
785-296-1200
jshirley@kdheks.gov
Form Required
Certified Affidavit of Expenditures – State Formula