DEPARTMENT OF CHILDREN AND FAMILIES
     Division of Safety and Permanence
                           Family Foundations Home Visiting Program
                                          Budget Explanation
                                         For the Period of :
     Use of Worksheet:  Agencies should refer to the Department of Children and Families' Allowable Cost 
     Policy Manual for questions about costs applied to this grant. 
     https://dcf.wisconsin.gov/files/finance/fias/pdf/dcfallowablecostmanual.pdf 
     Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)m), 
     Wisconsin Statutes]. Each of the Budget Explanation categories totals should directly match 
     the totals on the Budget Summary form for each of the corresponding category.
     Program Name:
     Agency Name:
     Agency Address:
     Contact Name:
     Contact Telephone Number:
     Contact Email Address: 
     Salaries/Fringe Costs:
     List all personnel costs to be expended to the grant. 
     This amount includes all salary costs being charged to the grant. When listing FFHV home visiting 
     positions who hold a regular caseload (e.g., Parent Educators, Nurse Home Visitors, Family Support 
     Workers), at least 25 percent of her/his personnel costs (salary/wages including benefits) must be paid 
     for with FFHV funds.  If you list your program supervisors who hold a caseload, at least 25 percent of 
     the personnel costs of these positions must also be paid for with FFHV funds. Include all fringe costs 
     being charged to the grant, for example health insurance, taxes, unemployment insurance, life 
     insurance, etc.  The fringe benefits should be directly proportional to that portion of salary costs 
     allocated for the project. Home Visitor staff positions may be listed as a group. For example: Home 
     Visitor 5 FTE, with total salaries as a group cost. All staff positions that are listed in this section will be 
     required to be reported on on the FFHV quarterly report.  Please consider agency administration costs 
     to be reported as indirect cost to this grant.  
    DCF-F-5361-E (R. 06/2021)                                                                                        1
    Please note that ALL families served by home visitors for whom at least 25 percent of 
    her/his personnel costs are paid for with FFHV funds must be enrolled in FFHV and 
    reported to our federal funders.  Please contact DCF as soon as possible if you have questions 
    about this requirement.
    Position Title             FTE     Salary Grant      Fringe GrantTotal
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                                              0
                                                       0         0            0
    Travel and Training Costs:
    The travel amount should include all in-state and out-of-state travel, as well as any training costs your 
    staff plan to incur (including registration and travel costs), including for newly hired staff receiving 
    foundational training, model training, etc. 
    • Include costs for at least one representative of your agency to attend 2 FFHV Grantee Meetings, 
    usually held in Central Wisconsin                                                                                                               
                          
     • Ensure that all in-state travel mileage costs are budgeted no more than .51 cents per mile (anything 
    over must be paid for with other funds).
    • Ensure that all in-state travel lodging costs are budgeted at the state rate of $82 per night. The 
    maximum permitted amount for Milwaukee, Racine, and Waukesha counties is $90. (anything over 
    must be paid for with other funds).
    • Any out of state travel/conference costs must be directly related to your FFHV program or prorated 
    based on the amount of  time allocated to the  FFHV program.  
    • Travel to home visits should be included in this section if using FFHV funds for those expenditures.  
    DCF-F-5361-E (R. 06/2021)                                                                                     2
                                                   Mileage Total                                  Cost for 
                                               .51 X Number of Miles      Related Expenses        related 
                                                  or travel expense       discription (hotel,    expense
     Travel or Training Reason                                             food,registration)        s    Grant Amount
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                                     0
                                                                                                 total               0
     SuppliesTotal:
     • Supplies must be directly related to Family Foundation Home Visiting services.
     • Supplies may be purchased to support family engagement activities for families enrolled in Family 
     Foundations Home Visiting program.  
     • Costs for cellular carrier for home visitors that works best for your agency/area may be covered 
     under supplies. 
     Supply                           Description                    Costs
                                                                                0
     DCF-F-5361-E (R. 06/2021)                                                                                               3
    Equipment Total:
    • Equipment must be directly related to Family Foundation Home Visiting services.
    • Equipment may be purchased to support family engagement activities for families enrolled in Family 
    Foundation Home Visiting program.  
    • Please see DCF policy 233 Reinbursement on Capital Expenditures if making purchases of single 
    items over $5,000.
    Equipment                  Description               Costs
    Contractual Total:                                           0
    • All costs related to contracts and subcontracts should be listed here.
    • Contractual costs must be directed related to supporting Family Foundations Home Visiting families 
    and staff.  
    Contract Name              Description               Cost
                                                                 0
    DCF-F-5361-E (R. 06/2021)                                                                                     4