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HomeMy WebLinkAboutRPT 3 COST REIMB'S 02-16-93REPORTS NO. 3 2-16-93 DA4 �_ ��� GYM AGLN DATE: FEBRUARY 8, 1993 Inter -Com TO: WILLIAM A. HUSTON, CITY MANAGER FROM: RONALD A. NAULT, DIRECTOR OF FINANCE SUBJECT: MANDATED COST REI14BURSEMENTS RECOMMENDATION: Receive and file DISCUSSION: Each year the State Controller' s Of f ice sends every city a complete package of information and forms updating the "Mandated Cost Manual for Cities". Claims are filed for the previous years cost so that during 1992/93 we filed against 1991/92 funded mandates and estimates for 1992/93 mandates. During fiscal 1991/92 there were a total of sixty one mandated programs, only thirty nine of which had appropriations totaling $78 million. Of the sixty two programs carried forward to 1992/93, eighteen have appropriations totaling $33 million. In prior years, we had a consultant in this area review and prepare our claim forms for which they received up to fifty percent of the amount we received. Since 1986 we've processed all claims in house at a considerable savings to the City. For those programs which are applicable to our agency and have a current appropriation, Finance staff coordinates the data collection and claim preparation with the appropriate department. The following are the most recent claims we have made for 1991/92: 1. Investment Reporting $78,000* 2. Business License Tax Reporting 61,500 3. Absentee Ballots 6,900 4. Marijuana Records Destruction 534 $91,434 *Covers several years costs. The Business License Tax Reporting mandate is the only program with a new appropriation for 1992/93. I've attached the first few pages of this years updates and copies of the claim forms for substandard housing as an example. While we Mandated Cost Reimbursements February- 8, 1993 Page 2 will review all appropriated programs for claim consideration, I do not expect that we will be claiming any material amounts for 1992/93. Ronald Nault Director of Finance -Attachments RAN: 1s a:mandate.wah a GRAY DAVIS Gmtro of thr tate of Ca1' P.O. BOX 542630 SACRAMENTO, CA 54230-0001 October 19, 1992 To: City Fiscal Officers Re: State Mandated Costs Claiming Instructions No. 92-5 for Cities Section 17561 of the Government Code provides for the reimbursement of State mandated costs. Enclosed are information and forms to update the 'Mandated Cost Manual for Cities' which was mailed to you last year. To prepare your 1992/93 estimated claims and 1991/92 reimbursement claims, you can reproduce the forms in the manual to meet your filing requirements. Mandated cost programs and the fiscal year for which costs may be claimed are shown in the schedule entitled 'Reimbursable State Mandated Costs Programs.' Estimated claims for costs to be incurred in the 1992/93 fiscal year and reimbursement claims which detail the costs actually incurred during the 1991/92 fiscal year must be filed with the State Controller's Office postmarked on or. before November 30, 1992. If a claim is filed after the deadline, but by November 30, 1993, the approved claim will be reduced by a late penalty of 10% but not to exceed $1,000. In order to be considered as filed, the claim must include supporting documentation as specified in the instructions to substantiate costs. Claims filed more that one year after the deadline and claims without supporting documentation cannot be accepted. If you have any questions concerning mandated cost reimbursements, please write to us at the State Controller's Office, Division of Accounting, P.O. Box 942850, Sacramento, CA 94250-5875 or call (916) 322-4479. Sincerely, Carla B. Lenerd _ Assistant Deputy Controller CBI./JY:jm SC20312 cc: League of California Cities GRAY DAVIS fllacnd=1 zr of toe estate of (ffUI' . P.O. BOX 942930 SACRAMENTO, CA 94250-0001 October 26, 1992 To: City Fiscal Officers County Auditors Administrators of Special Districts Re: State Mandated Costs Claiming Instructions No. 92-5 (Supplemental) The 1992 State Budget Act, Item 885-101-001, suspended the mandated cost program Ch. 641, Statutes of 1986; the Open Meetings Act, pursuant to Government Code Section 17581 for the 1992/93 fiscal year. Subsequent legislation, Chapter 1365, Statutes of 1992 (SB 593), effective October 21, 1992, reverses this suspension. However, Chapter 1365 did not provide an appropriation for this program. As a result, claimants may file claims for the 1992/93 cost of the Open Meetings Act. Payment of anticipated claims will be held pending the receipt of subsequent funding or augmentation of the budget item. If you have any questions concerning mandated cost reimbursements, please write to us at the State Controller's Office, Division of Accounting, P.O. Box 942850, Sacramento, CA 94250-5875 or call (916) 322-4479. Sincerely, -�Cf- Yarla. Lenerd Assistant Deputy Controller CBL/JY:jm SC20371 cc: League of California Cities County Administrative Officers County Boards of Supervisors County SB -90 Coordinators California State Association of Counties L, MANDATED COST MANUAL FOR CITIES REVISIONS SEPTEMBER 1992 REMOVE INSERT State Mandated Cost Programs, P9ges 2 through State Mandated Cost Programs, Pages 2 through 7, 19 and 20. 7, 19 and 20 (Revised 9/92). Ch. 238/74, remove Forms FAM -27, SH -1, & SH -2 (Revised 9/91). Ch. 486/75, remove Forms FAM -27 & MRP -2 -(Revised 9/91). Ch. 1131/75, remove Forms FAM -27 & MR -2 (Revised 9/91). Ch. 77/78, remove Forms FAM -27 & AB -2 (Revised 9/91). Ch. 845/78, remove Forms FAM -27 & FES -2 (Revised 9/91). Ch. 1143/80, remove Forms FAM -27 & RH-2 (Revised 9/91). Ch. 1586/82, remove Forms FAM -27, FOP -1.1, FCP-2.1 & FCP-2.2 (Revised 9/91). Ch. 1490/84, remove Forms FAM -27 & BTR -2 (Revised 9/91). Ch. 1609/84, remove Forms FAM -27 & DV -2 (Revised 9/91). Ch. 641/86, remove Forms FAM -27 & OMA -2 (New 12/91). Ch. 1334/87, remove Forms FAM -27 & CPR -2 (Revised 9/91). Ch. 391/88, remove Forms FAM -27 & BMA -2 (Revised 9/91). Tide 8, CCR Sec. 3401(c), remove Form FAM -27 & PSA -2 (Revised 9/91). Title 8, CCR Sec. 3401-3410, remove Form FAM -27, FSC -1, FSC -2.1, FSC -2.2, FSC -2.3, FSC -2.4, FSC -2.5 & FSC -2.6 (Revised 9/91). Ch. 238/74, insert Forms FAM -27, SH -1 & SH - 2 (Revised 9/92). Ch. 48685, insert Forms FAM -27 & MRP -2 (Revised 9/92). Ch. 1131/75, insert Fors FAM -27 & MR -2 (Revised 9/92). Ch. 77/78, insert Fomes FAM -27 & AB -2 (Revised 9/92). Ch. 845/78, remove Fors FAM -27 & FES -2 (Revised 9/92). Ch. 1143/80, insert Fors FAM -27 & RH-2 (Revised 9/92). Ch. 1586/82, insert Forms FAM -27, FCP-1.1, FCP-2.1 & FCP-2.2 (Revised 9/92). Ch. 1490/84, insert Forms FAM -27 & BTR -2 (Revised 9/92). Ch. 1609/84, insert Forms FAM -27 & DV -2 (Revised 9/92). Ch. 641/86, insert Forms FAM -27 & OMA -2 (Revised 9/92). Ch. 1334/87, remove Forms FAM -27 & CPR -2 (Revised 9/92). Ch. 391/88, insert Fors FAM -27 & BMA -2 (Revised 9/92). Title 8, CCR Sec. 3401(c), insert For FAM -27 & PSA -2 (Revised 9/92). Title 8, CCR Sec. 3401-3410, insert Form FAM - 27, FSC -1, FSC -2.1, FSC -2.2, FSC -2.3, FSC -2.4, FSC -2.5 & FSC -2.6 (Revised 9/92). REIMBURSABLE STATE MANDATED COSTS PROGRAMS Cities may file claims with the State Controller's Office for costs of complying with the following State mandated programs. The 'Xs' indicate the fiscal year for which a claim can be filed. 1991/92 1992/93 Reimburse -Estimated merit Claim Claim X Chapter 238/74 - Substandard Housing: Tax Deductions X X Chapter. 486/75 - Mandate Reimbursement Process X Chapter 1131/75 - Mineral Resource Policies X Chapter 77/78 - Absentee Ballots X Chapter 845/78 - Filipino Employee Survey X Chapter 1143/80 - Regional Housing Need Determinations X X Chapter 1568/82 - Firefighters Cancer Presumption X X Chapter 1490/84 - Business Tax Reporting Requirements X Chapter 1609/84 - Domestic Violence Information X Chapter 641/86 - Open Meetings Act X Chapter 1334/87 - CPR Pocket Masks X X Chapter 391/88 - Brendon Maquire Act X X Chapter 1088/88 - Search Warrant: AIDS X Title 8, CCR - Personal Alarm Devices X Title 8, CCR - Structural and Wildland Firefighters Safety Clothing and Equipment (Revised 9/92) 2 APPROPRIATIONS FOR STATE MANDATED COST PROGRAMS -1992/93 FISCAL YEAR Source of State Mandated Amounts Appropriated Appropriations Programs to State Controller Chapter 587/92 Item 8885-101-001 (1) Court Audits and Proration of Fines [Ch. 980/84] 0* (2) Victim's Statement -Minors [Ch. 332/81 ] 0* (3) Custody of Minors [Ch. 1399/76] $3,158,000 (4) Lis Pendens [Ch. 889/81) 0* (5) Investigations of Guardianships [Ch. 1017/861 0* (6) Juvenile Felony Arrests [Ch. 1088/82) 0* (7) Victims' Statements [Ch. 1262/781 0* (8) Deaf Teletype Equipment [Ch. 1032/80) 0* (9) CPR Pocket Masks [Ch. 1334/87] 0* (10) Dental Examinations [Ch. 462/78) 0* (11) Marijuana Records [Ch. 952/761 0* (12) Motorists' Assistance [Ch. 1203/85] 0* (13) Domestic Violence Diversion [Ch. 913/79] 1,010,000 (14) Missing Persons' Reports [Ch. 51/84] 0* (15) Domestic Violence Information [Ch. 1609/84) 0* (16) Absentee Ballots [Ch. 77/78] 0* (17) Brandon Maquire Act [Ch. 391/88] 1,000 (18) Filing Fees [Ch. 454/74] 0* (19) Handicapped Voter Access [Ch. 494/791 0* (20) Registration by Mail [Ch. 704/75] 1,197,000 (21) Local Elections [Ch. 1013/81] 0* (22) Voter Registration Roll Purge [Ch. 1401/76] 0* (23) Permanent Absent Voters [Ch. 1422/82] 275,000 (24) Democratic Presidential Delegates [Ch. 8/88] 0* (25) Election Materials [Ch. 1042/85] 0* (26) Substandard Housing [Ch. 238/741 0* (27) Business Tax Reporting Requirements [Ch. 1490/84] 2,901,000 (28) Regional Housing Needs [Ch. 1143/80] 0* (29) School Crossing Guards [Ch. 282/79] 0* (30) Airport Land Use [Ch. 1117/84] 0* (31) Mineral Resource Policies [Ch. 1131/75] 0* (32) Local Coastal Plans [Ch. 1330/76] 0* (33) Sudden Infant Death Syndrome Notices [Ch. 453/74] 29,000 (34) Medi -Cal Beneficiary Death Notices [Ch. 1163/81] 84,000 (35) AIDS Testing [Ch. 1597/88] 1,050,000 (36) Pretreatment Facilities [Title 22, CCR] 0* (37) Short -Doyle Audits [Ch. 1327/84] 0* (38) Coroners [Ch. 498/77] 86,000 (39) Judicial Proceeding [Ch. 644/80] 61,000 (40) Attorney Fees [Ch. 694/75] 156,000 (41) MR Representation [Ch. 1253/801 87,000 (42) Conservatorships [Ch. 1304/80] 79,000 3 (Revised 9/92) Source of State Mandated Amounts Appropriated Appropriations Programs to State Controller Chapter 587/92 Item 8885-101-001 (43) * Short -Doyle Case Management [Ch. 815/79) 0* (44) MDSO Recommitments [Ch. 991/79] 153,000 (45) Residential Care Services [Ch. 1352/851 p* (46) Detention of Minors [Tile 15, CCR] 0* (47) Investment Reports [Ch. 226/84] 0* (48) Open Meetings Act [Ch. 641/86] 0* (49) Real Property Subdivision Mergers [Ch. 845/83] 0* (50) Guardianship/Conservatorship Filings [Ch. 135786] 0* (51) Adult Felony Restitutions [Ch. 1123/77] 0* (52) Firefighters' Cancer Presumption [Ch. 1568/82] 525,000 (53) Personal Alarm Devices [Title 8, CCR] 0* .(54) Structural and Wiidiand Firefighters' Safety Clothing and Equipment [Title 8,CCR] 0* (55) Filipino Employee Surveys [Ch. 845/78] 0* (56) Personnel Files [Ch. 1220/83) 0* (57) Property Taxation [Ch. 48/87] 0* (58) Senior Citizens' Property Tax Deferral [Ch. 1242/771 0* (59) Involuntary Lien Notices [Ch. 1281/801 0* (60) Mobilehome Property Tax Deferral [Ch. 1051/83] 0* (61) Test Claims and Reimbursement Claims 1,912,000 (62) implementation of Chapter 459, Statutes of 1990 19,975,000 TOTAL APPROPRIATION $32,739,000 Provision 4, Item 8885-101-001 of Chapter 587/92 provides the following explanation for a zero appropriation: 'Pursuant to Section 17581 of the Government Code, mandates identified in the appropriation schedule of this item with an appropriation of $0 and Included in the language of this provision are specifically identified by the Legislature for suspension during the 1992-93 fiscal year.' (Revised 9/92) 4 FILING DEADLINE FOR CLAIMS Reimbursement claims for costs incurred during ttte fiscal costs to be incurred during the current fiscal year must be filed with the Stateear and estimate �� for Postmark ed on or before November 30 Claims must W)clude su Controller' Office amount claimed was derived. Without this information, the Claim cannot � �a� �to show � the reimbursement claim is filed after the deadline, the claim wig be reduced up to 1096 of the o, claim but not to exceed $1,000. N a claim is filed more than one year after the deadline the ccllai ed cannot be accepted. n� Claims should be rounded to the nearest dollar, copies of the supporting Submit three copies of the claim fe and two pporting data. Mailing addresses; U.S. Postal Service Gray Davis State Controller Division of Accounting P.O. Box 942850 Sacramento, CA 94250-5875 MINIMUM COSTS FOR CLAIMS Other Delivery Services, Use Street Address Gray Davis State Controller Division of Accounting 3301 C Street, Suite 500 Sacramento, CA 95816 Section 17564(a), Government Code, provides that no claim or payment shall be made u Section 17561 unless such a claim exceeds $200 pursuant to Per program per fiscal year. SUMMARY OF PROGRAM CHANGES The following is a summary of changes made to the 1992/93 claiming instructions: I. New Claim Forms The State Controller's Office is replacing their manual claims review and payment system. As a result, the Claim formas are m ed to m automated of the new system. The new claim forms shall be used for the filing Of 1199991/92 reimbursement needs claims and 1992/93 estimated claims. The system bei re eat automated/ manual � placed � � antiquated simi- type unable to meet claimant service needs. The new system is designed to select claims for review, to perform accounting functions, to maintain ' a Claim history, to permit on-line inquiry for faster response to inquires about claims, to provide a better payment description on remittance advice, to permit faster payments, etc. We believe that the new System will greatly improve claims processing efficiency and our overall service to claimants. In addition, we have enclosed fifteen (15) mailing labels with the instruction cka program. On your original copy of the Form FAM -27, Claim For Payment, affix atal he m tr space indicating Label Here., Claim forms may be duplicated for your use in future claim filings. (Revised 9/92) 5 2. Retention of Claiming Instructions Claiming instructions and forms contained in this package should be retained permanently in your Mandated Cost Manual for future reference and use in filing claims. The forms may be duplicated to meet your filing requirements. Each September, the State Controller's Office will send updates to forms and any other information claimants may need to•file claims. When the costs of a new program are claimable, instructions to claim those costs are sent to claimants. These new claiming instructions should be permanently retained in the manual. 3. Estimated Claims Unless otherwise specified in the claiming instructions, claimants do not have to provide detail and supporting documents for their estimated claim if the estimated amount does not exceed the last fiscal year's actual costs by more the 10%. The claimant can simply enter the estimated amount on the Form FAM -27, Claim for Payment, line (07). However, if the estimated claim exceeds the last fiscal year's actual costs by more than 10%, the claimant must complete claim fomes, as specified for the program, and explain the reason for increased costs. If the required information to support the high estimated claim is absent, the claim will automatically be adjusted to 110% of the last fiscal year's actual costs. We encourage claimants not to over estimate costs for an estimated claim to avoid being overpaid. Refund of overpayment to the State may cause additional paper work and budgetary problems for the claimant due to constraints within the claimant's own internal disbursement procedures. 4. Unit Cost Reimbursement Rates Chapter 238/74 Substandard Housing may be reimbursed on the basis of actual costs or a suggested unit rate. The suggested unit cost rate to claim the 1991/92 f.y. is $6.05 for the costs of notices informing the property owner of intent to report noncompliance with local housing codes to the Franchise Tax Board. The rate is adjusted annually by the change in the Implicit Price Deflator for the Costs of Goods and Services to Governmental Agencies as determined by the Department of Finance (DOF). The previous fiscal year's adjusted rates were increased by 2.4% for 1991-92 f.y. and by 3.3% [est.) for 1992-93 f.y., based on the DOF report of May 4, 1992. 5. Programs Suspended for the 1992-93 Fiscal Year Pursuant to Government Code Section 17581 of the Government Code, the following State mandated programs are identified in the appropriation schedule of the 1992 State Budget Act (Ch 587/92), Item 8885-101-001, with a $0 appropriation by the Legislature. These programs are suspended during the 1992-93 fiscal year. No estimated claims shall be filed. Ch. 238/74 - Substandard Housing Ch. 889/81 -Lis Pendens Ch. 454/74 - Candidate Filing Fees Ch. 1220/83 - Employee Personnel Files Ch. 952/76 - Marijuana Records Ch. 1225/84 - Investment Reports Ch. 1.330/76 - Local Coastal Program Ch. 1609/84 - Domestic Violence Information Ch 77/78 - Absentee Ballots Ch. 1203/85 - Motorists' Assistance Ch. 462/78 - Dental Examinations Ch. 641/86 - Open Meetings Act Ch. 845/78 - Filipino Employee Survey Ch. 1334/87 - CPR Pocket Masks Ch. 1143/80 - Regional Housing Needs Title 8, CCR - Personal Alarm Devices (Sec. 3401 (c)) Title 8, CCR - Structual & Wildland Firefighters Clothing and Equipment (Sections. 3401-3410) Title 15, CCR - Detention of Minors (Sections 45W-4549) (Revised 9/92) 6 6. Claiming Instructions Added to the Mandated Cost Manual Durino the Fiscal Year The Mandated Cost Manual was issued September 1991. Since then, the State Controller's Office has issued two subsequent claiming instructions and programs in these claiming instructions should be added to the manual to keep it current. First, the. Claiming Instructions No. 91-8, dated December 30, 1991, noticing mandated programs in Chapter 459, Statutes of 1990, added the following three programs to the manual. Payees are to be made in three Installments for costs of 1989/90 and prior fiscal years. Chapter 118/91 [the 1991 Budget Act) provides $18,293,000 for payment of the first installment. The second and third installments will be included in the 1992 and 1993 budget acts. Ch. 1226/84 - investment Reports Ch. 641/86 - Open Meetings Act Ch. 845/83 - Subdivision Mergers Second, a recent Claiming Instructions No. 92-2, dated September 21, 1992, noticing the mandated Program in Chapter 1088/88 Search Warrant; SIDS. This ram $1.665,000 in the State Mandates Claims Fund to reimburse costs of � gg0/91 � utilize and 1992/92 fiscal years. STATE MANDATES APPORTIONMENT SYSTEM Chapter 1534, Statutes of 1985, established the State Mandates method of paying certain mandated programs as Apportionments System (SMAS), a P o9 apportionments. This method is utilized whenever a program has been approved for inclusion in the SMAS by the Commission on State Mandates. Once a mandate has been included in the State Mandates established a base year entitlement, the city will receive automatic annual Systemandand the city has Controller's Office for the mandate. A base year entitlement is determined f or each from by a State averaging their approved claims (actual costs) for 1982-83, 1983-84, and 1984.85 fiscal years, or any three consecutive fiscal year thereafter. As an example, if a city has incurred costs in three consecutive d a fiscal years, but has not file claim in each of those years, the city may file an entitlement claim for each of those years e to establish a base year entitlement. As another example, if a city has incurred costs in three consecutive fiscal year, but omitted filing a claim in the second year of the three years, the city may file an entitlement claim for the omitted fiscal year. An 'entitlement claim' means any claim filed b a city with the State Controller's Office for the sole purpose of establishing a base year entitlement. A base year entitlement shall not include any nonrecurring or initial start up costs. Initial apportionments are made on an individual program basis. After the initial year, apportionments (programs combined) are made by November 30. The amount to r oned is the base year entitlement adjusted by annual changes in the Implicit Price Deflator for Costs toff Goods and Services to Governmental Agencies, as determined by the State Department of Finance (DOF). For your information, the Implicit Price Deflators are 2.4% for 1991-92 and 3.3% estmated for 1992-93, based on the DOF report o May 4, 1992. [ Ch. 238/74 Substandard Housing is the only program affecting cities that was lac Because the program is suspended during the 1992/93 fiscal ear, no P in the SMAS. y apportionment is forthcoming. (Revised 9/92) 7 Level 2 Review—Executive Office In the event that the audkee is not in agreement with the decision of the Division's Review Committee. the audkee may request a second level review and conference at the Executive Office level. Requests for Review Subsequent to the receipt of the written decision with the Level 1 Review Committee, the auditee should submit a written request to the Assistant Deputy Controller, Division of Accounting, and Include any additional information pertinent to the disputed issue(s). The request should be submitted within 30 days of the receipt of the written decision. All requests and documentation should be submitted to: Carla B. Lenerd Assistant Deputy Controller Division of Accounting State Controller's Office P.O. Box 942850 Sacramento, CA 94250-5875 Upon receipt of the request, the Chief of the Division of Accounting will forward the audit and all documentation submitted by the auditee to F. Arnold Schuler, Deputy State Controller. Level 2 Review Committee The audit and any additional information will be reviewed by an independent committee consisting of three persons from the Executive Office. Review Conference The conference will be scheduled at a time convenient to all parties. Dec_ The review committee will issue a written decision as soon after the conference as is possible. The decision may be delayed or impaired if all information is not available for review at the conference. OTHER COMMENTS Please be aware that claiming instructions contained within this package are issued for the sole purpose of assisting local agencies with the preparation of claims for submission to the State Controller's Office. Adherence to these instructions would expedite the payment process. These instructions are prepared based on interpretation of the statutes, regulations, standards and Parameters and guidelines adopted by the Commission on State Mandates. Therefore, unless otherwise specked, these instructions should not be construed in any manner to be statutes, regulations or standards. All claims received will be reviewed to verity the actual amount of mandated costs. Claims may be reduced if they are determined to be excessive, improper or unreasonable. (Revised 9/92) 19 STATE MANDATED COSTS PROGRAMS The following is a cumlative listing of mandated cost programs included in this manual. This is not a listing to show claims to be filed. Refer to page 2 for current filing information. The programs are arranged in statute year, chapter order. Chapter 238/74 - Substandard Housing: Tax Deductions Chapter 486/75 - Mandate Reimbursement Process Chapter 1131/75 - Mineral Resource Policies Chapter 77/78 - Absentee Ballots Chapter 845/78 - Filipino Employee Survey Chapter 1143/80 - Regional Housing Need Determinations Chapter 1568/82 - Firefighters Cancer Presumption Chapter 845/83 - Subdivision Mergers Chapter 1226/84 - Investment Reports Chapter 1490/84 - Business Tax Reporting Requirements Chapter 1609/84 - Domestic Violence Information Chapter 641/86 - Open Meetings Act Chapter 1334/87 - CPR Pocket Masks Chapter 391/88 - Brendon Maquire Act Chapter 1088/88 - Search Warrant AIDS Title 8, CCR - Personal Alarm Devices Title 8, CCR - Structural and Wildland Firefighters Safety Clothing and Equipment Title 15, CCR - Detention of Minors (Revised 9/92) K11 .1 State of California Mandated Cost Manual ENTITLEMENT CLAIM For State Controller Use orgy Pursuant to Government Code Section 17615 (12) Program Number 00065 SUBSTANDARD HOUSING: TAX DEDUCTIONS (13) Date File (14) Signature Present pt) Claimant Identification Number: Entitlement Claim Lp2) Mailing Address (15) SH -1, (03)(1)' ` A B Claimant Name - - - E (16) SH -1, (03)(2) L County of Location . (17) SH -1,(03)(3) H Street Address or P. O. Box E (18) SH -1, (03) (4) E �y State Zip Code (19) SH -1, (05) ,Base Year Fiscal FAM -27 Amount Years (20) SH -1, (07)(d) First (43) (06) (21) SH -1, (08) Second (04) (07) U (10) (22) Third (05) (08) (23) (24) (25) (26) I (28) (29) (30) (31) CERTIFICATION OF CLAIM In accordance with the provisions of Article 5 (commencing with Section 17615) of Chapter 4 of Part 7 of Division 4 of Title 2 of the Government Code, I certify that t am the person authorized by the county to file claims with the State of California for costs mandated by Chapter 238, Statutes of 1974; and certify under penalty of perjury that I have not violated any of the provisions of Government Code Sections 1090 through 1096, inclusive. I further certify that there were no applications for nor any grant or payment received, other than from the claimant, for costs contained herein; and such costs are for a new program or increased level of services of an existing program mandated by Chapter 238, Statutes of 1974. The amount of Entitlement Claim is hereby submitted to the State for the sole purpose of establishing or adjusting a base year entitlement for the mandated program of Chapter 238, Statutes of 1973 set forth on the attached statement. Signature of Authorized Representative Date Type or Print Name Title -------- - - - - --- _-- me o n C Person or aim Telephone Number Ext. Form FAM -43 (revised 9/92) Chapter 238/74 State of California Mandated Cost Manua' - SUBSTANDARD HOUSING: TAX DEDUCTIONS FORM Certification Claim Form FAM -43 Pursuant to Government Code Section 17615 NOTE: Chapter 1534, Statutes of 1985, established the State Mandates Apportionment System (SMAS), a method of paying designated mandated programs as apportionments. When a mandated program is included in the SMAS, a claimant that has established a base year entitlement will receive an annual payment by November 30, from the State Controller's Office. A base year entitlement is determined for each county by averaging their approved claims, (i.e., actual costs) for the 1981/82, 1982/83 and 1983/84 fiscal years or any three consecutive fiscal years thereafter. If a claimant has incurred costs for three consecutive fiscal years, but has not filed a claim for each of those years, the claimant may file an entitlement claim with the State Controller's Office. An entitlement claim is filed solely for the purpose of establishing a base year cost and may be filed for any or all of the three fiscal years. Once a base year entitlement has been established, no additional claim need to be filed by the claimant. Submit a separate FAM -43 for each fiscal year that is needed to complete the three consecutive fiscal years. (01) Leave blank (02) Enter the claimant's name, county in which claimant is located, street address, city, state, and sip code. (03) through (05) Enter the three consecutive fiscal years which are to comprise the base year. (06) through (08) If a Form FAM -27 was previously filed for any of the fiscal year, enter an "X" in the box of that fiscal year. (09) through (11) Enter the amount of which correspond to the fiscal year of this Entitlement Claim. Only on. - amount should appear on lines (09) through (11). Complete a separate Form FAM -43 for each Entitlement Claim. In addition, do not enter an amount for the fiscal year in which you checked a box indicating a Form FAM -27 was previously filed. (15) through (30) Bring forward cost information as specified on the left-hand column of lines (15) through (2 1) for the reimbursement claim [e.g., SH -1, (03)(1) means the information is located on Form SH -1 line (03) (1)). Enter the information in the left-hand column. Cost information should be rounded to the nearest dollar, (i.e., no cents). Indirect costs percentage should be shown as a whole number and without the percent symbol (i.e., 35% should be shown as 35). The claim cannot be processed for payment unless this data block is correct and complete. (31) Read the statement entitled "Certification of Claim." If the statement is true, the claim must be dated, signed by the entity's authorized representative and must include the person's name and title, typed or printed. Claims cannot be processed unless accompany a signed certification. (32) Enter the name of the person and telephone number that this office should contact if additional information is required. SUBMIT THREE COPIES OF THE CLAIM FORMS AND TWO COPIES OF THE SUPPORTING DOCUMENTS TO: Address, if delivery by: Address, if delivery by: U.S. Postal Service Other delivery service Gray Davis Gray Davis State Controller State Controller Division of Accounting Division of Accounting P.O. Box 942850 3301 C Street, Suite 500 Sacramento, Ca. 94250-5875 Sacramento, Ca 95816 Form FAM -43 (revised 9/92) Chapter 238/74 State Controller's Office MANDATED COSTS SUBSTANDARD HOUSING: TAX DEDUCTIONS CLAIM SUMMARY (01) Claimant: (02) Type of Claim: Reimbursement C] Estimated Entitlement 0 Claim Statistics (03) 1. Number of Notices of Noncompliance Issued to Taxpayers. 2. Number of appeal hearings resulting from Notices of Noncompliance Issued to Taxpayers. 3. Number of Notices Mailed to the Franchise Tax Board of the Taxpayer's Noncompliance. 4. Number of Notices of Compliance Mailed to Taxpayers and Franchise Tax Board. Unit Cost Method: (04) Suggested Unit Cost for 1991/92 Mandated Cost Manual FORM SH -1 Fiscal Year: 19 / (05) Total Cost, Unit Cost Method: Line (03)(1) x line (04) Actual Cost Method Direct Costs (06) Reimbursable Components: Object Accounts (a) ( (b) (c) Services SalariesI Benefits and Supplies 1. Noncompliance Notice Issued to Taxpayer. i 2. Appeal Hearings for Notice of Noncompliance. i 3. Noncompliance Notice Mailed to Taxpayers and Franchise Tax Board. 4. Compliance Notice Mailed to Taxpayers and Franchise Tax Board. I (07) Total Direct Costs I d' $ 6.05 n erect Costs (08) Indirect Cost Rate [ From ICRP] o� . (09) Total Indirect Costs [ Line (08) x line (07)(a)]or [line (08) x {line (07)(a)+line (07)(b))] ' (10) Total Direct and Indirect Costs, Actual Cost Method: [ Line (07)(d) + line (09)] i Cost Reduction _ (11) Less: Offsetting Savings, if applicable (12) Less: Other Reimbursements, (i.e., Local Agency Code Enforcement and Rehabilitation Fund) i (13) Total Claimed amount:{Line (05) - [Line (11) + line (12)])or {Line (10) - [Line (11) + (12)]}1 Revised 9/92 Chapter 238/74 State Controller's Otfice Mandated Cost Manual FORM 1 SUBSTANDARD HOUSING: TAX DEDUCTIONS SH-1 CLAIM SUMMARY Instructions (01) Enter the name of the claimant. of claim being 02 Type of Claim. Check a box, Reimbursement, Estimated or Entitlement, to identify the type ( ) filed. Enter the fiscal year of costs. an Form SH -1 must be filed for a reimbursement claim and an entitlement costslby� 096 do u are of complete claim and the estimate doeshe amounexceed the previous fiscal m on Form FAM -27, dine (03), Estimated.1Form SH_ Form SH -1. Simply enter tmore However, If the estimated claim exceeds the previous fiscal e increased al COSI VNtt out this information the 1 must be completed and attach a statement explaining high estimated claim will automatically b reduced to 110°�b of the previous fiscal year's actual costs. 9 (03) The notices discussed below are issued pursuant to Revenue and Taxation Code Section 24436.5(c). 1. Ener the number of Notices of Noncompliance Issued to Taxpayers. 2. Enter the number of appeal hearings which resulted from the Notice of Noncompliance Issued to Tax- payers. 3. Enter the number of Notices Mailed to the Franchise Tax Board of the Taxpayer's Noncompliance. 4. Enter the number of Compliance Notices Mailed to Taxpayers and the Franchise Tax Board. (04) The Suggested Unit Cost has been entered on this line. (03)(1), by the Suggested Unit 05) Multiply the Number of Notices of Noncompliance Issued to Taxpayers, line ( Cost, line (04). For each of the reimbursable components, enter the total allo nablle cos from rom Fo m STotaline (05ow.lumns (06) ea (d) and (e) to Form SH -1, block (06) columns (a), (b), and (c) i PP (67) Total Direct Costs. Total columns (a), (b), (c) and (d). or is excluding fringe 08) Enter the Indirect Cost Rate. Indirect costs a directs be orelated to the cost of perforuted as I o% of direct ming the mandate. If an in Benefis, as tong as the direct labor costs a YProposalwith the claim. If direct cost rate of greater than 10% involved is used, include the Indirect rrm, each department have their own ICRP more than one department is involved m the mandated program, for the program. (09) Multiply Total Salaries, in line (07)(a), by the indirect Cost Rate, line (08). If both Salaries and Benefits were ed in the distribution base for the computation of the indirect co re, then multiply Total Salaries an used b the Indirect Cost Rate, (08). Benefits, line (07)(a) and line (07) () b Y 10) Enter the sum of Total Direct Costs, line (07)(d), and Total Indirect Costs, Enter total savings experienced by line (09). I ( the claimant as a direct result of this mandate. Submit a schedule of (11) detailed savings with the claim. ther reimbursements received from any source, (i.e., federalmoun, other t eceivedtfrom the Sta els Local bmit (12) Enter total o a schedule of detail reimbursements and Rehabilitation d on F onThis Octobee s a Enforce Agency Code r 1 of each year. her Reimbursements, (13) ACTUAL COST METHOD: Subtract the sum of Offsetting a the remais, linender on this line and carry forward to line (12), from Total Direct and Indirect Costs, line (10). Enter Form FAM -27, line (07) for Estimated Claim, or line (13) for the Reimbursement Claim. Reimbursements, Line UNIT COST METHOD: Subtract the sum of Offsetting Sh st I9 a, line and (carry forward to Fo11, and Other m FAM 27, line (07) (12), from Total Cost, tine (05). Enter the remainder on for Estimated Claim, or line (13) for the Reimbursement Claim If you are filing an Entitlement Claim, subtract the sum of line 11 and (12) from line (05) or fine (10(; rjj o P li ble. Enter the difference on this line and carry the amount forward to Form FAM 43, line (09), (11),ca as appropriate. Revised 9/92 Chapter 238/74 State Controller's Office Mandated Cost Manual MANDATED COSTS FORM SUBSTANDARD HOUSING: TAX DEDUCTION SH -2 COMPONENT/ACTIVITY COST DETAIL (01) Claimant: (02) Fiscal Year costs were incurred: (03) Reimbursable Components: Check ONLY one box per form to identify the component being claimed. i 1. Noncompliance Notice issued to TaxPayer. [_] 2. Appeal Hearings for Notice of Noncompliance. 3. Noncompliance Notice Mailed to Taxpayers and Franchise Tax Board. [� 4. Number of Notices of compliance Mailed to Taxpayers and Franchise Tax Board. (04) Description of Expenses: Complete columns (a) through (e). Object Accounts ! ia)b Employee Names, Job Classifications and Functions Performed Hourly Hours Idi v , Plus y Services � Rate or worked or and Description of Services and Supplies Unit Cost Ouantity Salaries Benefits Supplies i 1 i f (05) Total [_� Subtotal J Revised 9/92 Page : of Chapter 238/74 State Controller's Office Mandated Cost Manual FORM SUBSTANDARD HOUSING: TAX DEDUCTIONS N.2 COMPONENVACTIVITY COST DETAIL. S F, Instructions Note: A separate Form SH -2 should be completed for each component claimed. (01) Enter the name of the claimant. 02) Enter the fiscal year for which the expenses were incurred claimed. Check only one box perform. A (03 Check the box which indicates the cost component being ( ) re red for each component which applies. separate Form SH -2 shall be p Pa support reimbursable costs. 7o detail The following table, identifies the type of information required r port lance to the Franchise (04) taxpayers of intent to report noncompliance the costs of preparing notices informing sition titles. a brief description of their activities performed, Tax Board, enter the employee names, Po supporting documents must be retained oducttve hourly rate, fringe benefits, supplies used, etc. All suppo 9 e final Payment on the claim. aimant for a period of not less than three years from the date of th by the d Submit these supporting orting documents with Object/ the claim Subobject((C)(d) (e) Accounts (a) . (b) Safari-" a and Benefits Salaries Benefits Ws -and office Expenses Employee Name, Title, Activities Performed Hourly Rate Hours Worked Benefit Rate Hours Worked Description of j Cost Supplies Used Ouantity 1 Consumed f and enter the sum on this line. Check the appropriate box to in - (06) Total Une (04}, Columns (d) through ( ) total or subtotal. If more than one form is neededfor SH 1, block (06)columns dicate if the amount Is a and (e) to Form number each page. Enter totals from Line (05), columns (d) (a), (b) and (c) in the appropriate row.. Revised 9192 Chapter 238/74