California Form Sr 10 – Fill Out and Use This PDF

The California Sr 10 form serves as a vital certification tool used by Certified Public Accountants (CPAs) to attest that the cost data reports of Group Homes or Foster Family Agencies have undergone thorough audits. Essentially, this document confirms the reliability of the financial audits, ensuring they are fairly represented in accordance with the California Department of Social Services' requirements. To properly complete and submit your California Sr 10 form, click the button below for a comprehensive guide.

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California Form Sr 10 PDF Details

The SR 10 form is a Certification of Audited Cost Data required by the California Department of Social Services for Group Homes and Foster Family Agencies (FFAs). A licensed Certified Public Accountant (CPA) must complete and sign this form.

The CPA certification confirms:

All required cost data reports have been fully audited

Financial information is accurately stated with the basic financial statements

Supplementary cost data reports meet CDSS Manual of Policies Section 11-405.214

All reported data is truthful under the False Claims Act

The California Department of Social Services (CDSS) uses this form to maintain financial transparency for licensed care organizations.

Who Must Submit This Form?

Group Homes and Foster Family Agencies that receive CDSS funding must submit the SR 10 as part of their annual audit. The CPA representing the organization is responsible for completing and signing it. Accurate submission protects the organization and the children in its care.

Question	Answer
Form Name	California Form Sr 10
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	sr10 certification of audited cost data form

How to Edit California Form Sr 10 Online for Free

Fill out the California SR 10 form online for free. No software download needed.

Step 1: Open the Form

Click the "Get Form" button at the top of this page to open the SR 10 in our editor.

Step 2: Fill In the Main Section

Complete all required fields before moving forward. Do not leave any area blank.

1. Fill out the main fields in the form. Gather your information before you begin.

Writing section 1 in California Form Sr 10

Step 3: Complete the CPA Certification Section

2. Fill in these fields: PRINTED NAME OF CPA, SIGNATURE OF CPA, DATE, ADDRESS, CITY STATE AND ZIP CODE, and SR number. Check each entry before you continue.

Step # 2 of submitting California Form Sr 10

Many people make errors in the certification section. Review your entries carefully.

Step 4: Save and Download

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