Partners in Regional Solutions
Data Management Forms:
ARIES New User Form
ARIES Certificate Request Form
New Agency Form
Contract Form
Service Category Worksheet Use with Contract Form
ARIES Laptop Agreement
ARIES Client Consent Form
Spanish ARIES Client Consent Form
Authorization to Revoke Sharing Form
Reallocation Request Form
Please use the following form for all reallocation requests. When complete please send the form to Amber Alvarez, amber.alvarez@bvcog.org.
Contract Amendment Request Form
Please use the following form when requesting a contract amendment. When complete, please send the form and any necessary documentation to Kristi Hanle, khanle@bvcog.org.
HOPWA Reallocation Request Form
Following is the HOPWA Reallocation Request Form. Once the form is complete, please send it and any additional documentation to Kristi Hanle, khanle@bvcog.org.
Subcontractor Advance Request Form
Following is the Subcontractor Advance Request Form. Any questions about this form should be sent to Deborah Krusekopf, dkrusekopf@bvcog.org. Once the form is complete, please send it and any additional documentation to Kristi Hanle, khanle@bvcog.org
Download File, uploaded December 14, 2011
Subcontractor Quarterly Report Form for Ryan White/State Services
Following is a blank copy of the BVCOG HIV/Health Services Quarterly Report form. Any questions about this form should be directed to Courtney McElhaney, cmcelhaney@bvcog.org
Download File, uploaded December 14, 2011
Subcontractor Quarterly Report Form for HOPWA
Following is a blank copy of the BVCOG HIV/Health Services HOPWA Quarterly Report form. Any questions about this form should be directed to Kristi Hanle, khanle@bvcog.org, or Betsy Goodnight, bgoodnight@bvcog.org
Download File, uploaded December 14, 2011
