Program Reports/Forms/Monitoring Tools

Reports

Reports can be submitted directly via email to the County Operations & Performance Unit staff responsible for your county or by emailing  RPBreports@dss.ca.gov

• RS 50 - Refugee Services Program Services Participation and Outcomes Report  and narrative (see instructions for details) 
• RS 51 - Refugee Resettlement Program Caseload Movement Report (see instructions for details)
• RS 52 - Claim for Reimbursement (click in any box on the form to enter your information) - see ACIN I-42-09 for reporting details
• Discretionaty Targeted Assistance Grant - Trimester Progress Report
• 2012-2015 Older Refugee Discretionary Grant - Semi-Annual Progress Report

Forms

• NA 991 - Refugee Cash Assistance (RCA)/Entrant Cash Assistance (ECA) MC-Decrease/Expiration (Time-Expiration)
• NA 992 - RCA Application Approval
• RCA and Refugee Services (RS) forms

URM Monitoring Tools

• Staff
• Minors

NOTE: The monitoring instruments above were developed for state review of the federal Unaccompanied Refugee Minors (URM) Program. The tools are shared for reference use only and are not intended for official use.