Complete a budget for your proposed project using the appropriate format found in this attachment, or you may use your own format if all budget categories found on this page are included. Indirect and administrative costs may be included in your request. The amount you request from ADAMH for indirect and/or administrative costs may not exceed 17% of the total project amount requested from ADAMH.
Note that your sources of funds (i.e., your revenue budget) is part of this form.
For Programmatic Requests - Include the ADAMH Request and Total Project Amount for each category below.
- Personnel (including payroll taxes and fringe)
- Supplies/Equipment
- Consultants/Partners
- Materials Development
- Evaluation
- Space Rental
- Indirect Costs/Administration
- Other (list)
- TOTAL
For Capital Requests - Include the ADAMH Request and Total Project Amount for each category below.
- Land
- Design
- Construction
- Consultants (separate line for each)
- Contingency (_____% of construction costs)
- Permits and Legal