1. Georgia Department of Human Resources
FAMILY SERVICES QUARTERLY STATISTICAL REPORT
COUNTY
MONTHS CALENDAR/FISCAL YEAR
SUBMITTED BY: PHONE FAX
COUNTY FAMILY SERVICE WORKER(S) CASELOAD INFORMATION
Please enter the numerical data requested in this table for services provided by
State Grant-In-Aid Family Service Workers Only
PROGRAM CASE INFORMATION
INDIVIDUAL INFORMATION
ADULTS CHILDREN
WAITING LIST
APS
CPS
EMP
PLC
TOTAL
COUNTY STAFF INFORMATION
STATE GRANT IN AID STAFF:
FAMILY SERVICE WORKER I
FAMILY SERVICE WORKER II
TOTAL FAMILY SERVICE WORKERS
(Service to Any Age)
NUMBER OF STAFF
OTHER SUPPORT STAFF:
County/Other Funded Positions:
(Services to Any Age)
Title III Homemakers (Div. on Aging)
(Service to Age 60 & Over)
Green Thumb/Other Funded Positions:
(Services to Age 60 & Over
COMMENTS
Original-State Office Copy-County Office
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