Program Reporting

RCA/RSS/TA:

Deadlines and Due Dates:

ACL 08-19 (April 23, 2008)
Revision Of State Refugee Program Reporting Forms

Report Forms & Instructions:

  • 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 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 50 form not being ADA accessible, please email RPB Reports for a mailed copy.

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.

Unaccompanied Refugee Minors (URM) Monitoring Tools:

  • Pre-Monitoring Questionnaire
  • Client File
  • Foster Family File
  • Staff File
  • Client Interview
  • Foster Family Interview
  • Staff Interview
  • Program Director/Vice President of Foster Care Interview
 NOTE:  The monitoring instruments above were developed for state review of the federal URM Program.  The tools are shared for reference use only and are not intended for official use.  The above documents are not ADA accessible nor form filled documents and cannot be posted on this page.  For mailed copies please email URM@dss.ca.gov.