County Refugee Program Guidelines

The County Refugee Program Guidelines have been developed to better assist counties that receive Refugee Social Services, Targeted Assistance and other federal Office of Refugee Resettlement funds to operate their refugee programs. These Guidelines supersede those that were previously issued in Refugee Coordinator Letter 99-08, dated April 29, 1999.

The Guidelines and Exhibits are in Adobe Portable Document Format (PDF). Please see Tips for Using Adobe PDF Files for details.

If you have any questions regarding the Guidelines, please send an email to RPB@dss.ca.gov. Please use the Contact Us for web site related questions or comments.

County Guidelines

  • County Refugee Program Guidelines
  • Exhibit A: County Refugee Services Plan Format and Instructions
  • Exhibit A-1: Budget Format for Carryover Funds (example 1)
  • Exhibit A-2: Budget Format (example 2)
  • Exhibit A-3: ORR-6 - Annual Services Plan (ASP) **(Not to be used for county reporting) and Instructions
    • Due to the ASP form not being ADA accessible, please email RPB Reports for a mailed copy.
  • Exhibit A-4: Annual Outcome Goal Plan (AOGP) **(Not to be used for county reporting), Instructions and Narrative form
  • Exhibit B : RS 52 Form - Claim for Reimbursement (Schedule B), (see ACIN I-42-09  for reporting details)
  • Exhibit C: RS 50 Form - Services Report: Employment Services (Schedule C) **(Not to be used for county reporting), Instructions (Exhibit C-1) and Narrative form (Schedule A)
    • Due to the RS 50 form not being ADA accessible, please email RPB Reports for a mailed copy.
  • Exhibit C-2: RS 51 Form - Caseload Movement Report (Schedule B) **(Not to be used for county reporting)
    • Due to the RS 51 form not being ADA accessible, please email RPB Reports for a mailed copy.
  • Exhibit D: Semi-Annual Progress Report Format (example)

Please contact your county analyst for the latest reporting forms or if you have any questions regarding these forms. For the County Operations & Performance Unit staff responsible for your county, either call (916) 654-4356 or email. Some documents are in Adobe Portable Document Format (PDF). Please see Tips for Using Adobe PDF Files for details.

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