Report Templates
- Bi-Weekly Timesheet Template:
This is the timesheet template that is to be used for staff. - CHA Narrative Report:
The narrative report is to be submitted in each monthly report. - Mileage Invoice:
The mileage invoice is to be submitted for staff members seeking reimbursement for mileage use during the reporting period. - Mileage Log Template:
This is the mileage log template that is to be used for staff. - Other Items Invoice:
The other items invoice is to be submitted for purchases such as equipment, office supplies, food and beverages, etc. - Program Staffing Invoice:
The staffing invoice is to be submitted in each monthly report which documents each staff member and the reporting period. - Special Projects Invoice:
The special projects invoice is to be utilized and submitted when using your special projects line item in your approved budget.
Forms
- Budget Modification Request Form
Complete this form to submit a budget request to the HERJ team at healthambassadorproject@aacounty.org. - Performance Measures Reporting Form:
Complete this form each month to report your completed activities. - Relationship Management Form:
Complete this form when your organization has developed a new partnership. - FY26 CHA Purchase Request Form:
Complete this form to submit a purchase request to the HERJ team. After submitting the form, a HERJ team will notify you that your request has been received and is under review. Please allow 1-3 business days for review and approval to purchase the requested items. - FY26 CHA Technical Assistance Request Form:
Complete this form to submit a technical assistance request. Technical assistance requests include but are not limited to program planning, financial reporting, training for staff members, etc. Please allow 1-2 business days to review your request and for a staff member to contact you regarding your request.