County of Los Angeles
Department of Public Health
Substance Abuse Prevention & Control
1000 S. Fremont Avenue
Building A9 East, 3rd Floor
Alhambra, CA 91803
Phone: (626) 299-4193
Fax: (626) 458-7637
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FY2013-14 Annual Cost Report Forms and Instructions
The Financial Services Division of Substance Abuse Prevention and Control (SAPC) have made the Annual Cost Report Forms and Instructions available to
all Contract Services Providers for Fiscal Year 2013-14. See below.
All cost reports must be submitted by SOW, Site and Modality. No exception.
The annual Provider cost reports are due August 15, 2014 (45 days after end of Fiscal Year).
If the cost reports are not received by the due date, your agency will be listed as a delinquent provider.
After August 15, 2014, a stop payment will be placed on current billings from providers considered
delinquent. The stop payment order will remain until such time cost reports are received.
Send original cost reports and one copy with all working papers as applicable to:
County of Los Angeles Department of Public Health
Substance Abuse Prevention and Control
1000 S. Fremont Ave., Bldg A-9 East
3rd Floor, North Wing, Unit 34
Alhambra, California 91803
CARE Certification & Cost Report Certifications: To be attached to ALL cost reports