New York State Office of Mental Health
Document Requirements for OMH Contracts
With Amendment Number “0”
(e.g. Contract C00XXXX/0 from the Contract Summary Report by Contract)
2 Do not complete; leave blank and include with package.
3 Not required if contract includes only licensed programs.
4 Required if contract includes licensed programs.
5 Original signed Federal certification forms are required if Federal funds are included in the contract.
6 For outpatient treatment programs involving court ordered population only.
Comments or questions about the information on this page can be directed to the Community Budget & Financial Management (CBFM) Group.