Providers
Client Data Collection and Reporting
Monthly Reporting - Other Services
Monthly Client Services Report
A new Monthly Client Service Report has been developed for outside vendors to use and is now available for download 
. This new form is similar to the previous version except with added functionality to streamline the data processing of the form. All outside vendors will be required to use this form for their January 2012 reporting month (due Febuary 10, 2012). Any previous forms will be returned to the vendor and will delay processing of such form. If you have any questions, please contact your Dane County Data Entry Staff.
- Monthly Client Services Report - Other Services (610 Form)
- Monthly Client Services Report Instruction Manual
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If required by their contract, service providers must use the Monthly Client Services Report (610 Form) to collect unit of service and opening and closing reason information on clients receiving publicly funded services, except for alcohol and other drug abuse programs which must use the AODA Monthly Client Report.
Monthly reports are due on the tenth (10th) of the following month. Instructions for submitting the reports are included on page 18 of the Instruction Manual.
If you have questions about this report, please call your designated data entry contact.
01/10/2012