Reporting Forms & Guidance Documents | Vermont Department of Health
Source: http://healthvermont.gov/alcohol-drugs/grantees-contractors/reporting-forms-guidance-documents
Archived: 2026-04-23 17:11
Reporting Forms & Guidance Documents | Vermont Department of Health
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Translations for you
Reporting Forms & Guidance Documents
Grantees & Contractors
Reporting Forms & Guidance Documents
Substance Use Messaging Resources
Requests for Proposals, Information and Applications
Federal and State Authority
As a grantee, you are required to submit reports according to the schedule specified in your grant. Find your program's reporting forms and guidance documents below.
All Providers, Grantees & Contractors
Grant Reporting Update
Grant Invoice Template and Submission Tool
Template and Submission Tool
Grant Invoice Template
-
effective 12/1/24
Grant Invoice Submission Tool
- updated 1/03/22
Evaluation Training & Templates
Resources
Logic Models Overview
Logic Model Templates
Evaluation Plan Overview
Evaluation Plan Template
Training & Event Data Collection
Guidance Documents
Reporting Instructions
Wording for Event Attendee Evaluations
Data Collection Tool
Reporting Forms
Workforce Development Reporting Form
Grantee Quarterly Reporting and Evaluation Summary Form
Prevention Workforce Development Tracking Form
Important Links
Harm Reduction Grants
Prevention Grants
Intervention Grants
Treatment Grants
Recovery Grants
Harm Reduction
Community Drug Checking
Guidance Documents
Drug Checking Guidelines
Reporting Forms
Monthly Report Submission
Quarterly Report Submission
Community Syringe Disposal
Reporting Forms
Report Submission
Overdose Data to Action (OD2A) Grants
Reporting Forms
Budget Narrative
Guidance Documents
Budget Guidance
Overdose Data to Action Performance Measure Brief: Year 2
CDC OD2A Strategy List
CDC OD2A Performance Measures
CDC From SMART to SMARTIE Objectives
Reporting Portal (Alchemer)
Quarterly Report for FY26 Health Services and Professionals
Quarterly Report for FY26 Recovery Centers
Quarterly Report for FY26 SSPs
Reporting Form FY26
Overdose Prevention Centers
Guidance Documents
Overdose Prevention Centers Guidelines
Reporting Forms
Overdose Prevention Centers Budget Template
Overdose Prevention Centers Reconciliation Template
Overdose Prevention Centers Workplan and Timeline Template
Reporting portal (alchemer)
Overdose Prevention Centers Reporting
Syringe Services Programs (SSP)
Guidance Documents
SSP Operating Guidelines
Reporting Forms
Quarterly Status Report Submission
Annual Report Submission
Prevention
National Outcome Measures (NOMs)
The National Outcome Measures (NOMs) are the federal Substance Abuse and Mental Health Services Administration's (SAMHSA) approach to performance measures. States are required to report on National Outcome Measures for both prevention and treatment programs as part of block grant requirements.
National Outcome Measures are broken down into sub-categories called “domains”. Vermont is collecting data from prevention grantees to report on the three domains in
bold
below. DSU grantees are required to collect the data throughout their grant period and submit it as part of their regular reporting activities for the grant.
Domain 1: Reduced Morbidity – Abstinence from Drug or Alcohol Use
Domain 2: Employment/Education
Domain 3: Crime and Criminal justice
Domain 4: Social Connectedness
Domain 5: Access/Capacity
Domain 6: Retention
Domain 7: Cost Effectiveness
Domain 8: Use of Evidence-based Practices and Strategies
Guidance Document
NOMs Data Collection Form
Reporting Form
NOMs Reporting Form
Law Enforcement Drug Disposal Project
Reporting Forms
Budget Form
Budget Narrative
Expense Form
Monthly Metric Report
MyTime
Reporting Forms
Reporting Form
Prevention Leads
Guidance Documents
Workplan Template
Budget Template
Reporting Forms
VPLO Budget, Budget Narrative and Workplan
VPLO Quarterly Report
Regional Prevention Partnerships
Reporting Forms
Budget Form
Quarterly Report
Workplan Template
Budget Narrative
Guidance Documents
Evaluation Plan Template
"Developing evaluation plans" training (video)
"Developing evaluation plans" training presentation (PDF)
Regional Prevention Partnership County Profiles available on the
Data & Reports
page.
School Grants
Reporting Forms
Budget Form - FY26
Budget Narrative - FY26
Implementation Plan Form - FY26
Capacity Plan Form - FY26
Quarterly Reporting - FY26
Quarterly Report - FY25
Budget, Budget Narrative, and Implementation Plan Submission Form
Up for Learning Quarterly Report
Vaping Prevention Grant
Guidance Documents
Workplan Template
Budget Template
Reporting Forms
Quarterly Report Form
Budget, Budget Narrative, and Workplan
Intervention
Public Inebriate Program
Reporting Forms
Quarterly Reporting Form - FY25
Quarterly Reporting Form - FY26
Initial Report
Public Inebriate Program Manual
Public Inebriate Program Frequently Asked Questions
Public Inebriate Program Law Enforcement Training
Public Inebriate Program Law Enforcement Quick Guide
Treatment
All Treatment Providers
Reporting Forms
Critical Incident Form
Block Grant Quarterly Reporting Form - FY26
Block Grant Quarterly Reporting Form – FY25
Monthly Wait Times and Service Requests Summary Form - FY26
Monthly Wait Times and Service Requests Summary Form – FY 25
Contingency Management and Outreach and Engagement Quarterly Reporting Form – FY26
Contingency Management and Outreach and Engagement Quarterly Reporting Form – FY25
Guidance Documents
Clinically Managed Residential Withdrawal Management Clinical Guidelines
Medicaid Rate Sheet
Substance Abuse Treatment Information System Manual – For Legacy Systems
Substance Abuse Treatment Information System Manual – For EHR Extracts (2019)
Contingency management
"Contingency Management and Substance Use" training 2025
Part 1 Recorded Training
Part 1 Presentation PDF
Part 2 Recorded Training
Part 2 Presentation PDF
"Contingency Management Approaches" training 2024
Part 1 Recorded Training (audio only)
Part 2 Recorded Training
Presentation PDF (parts 1 & 2)
Drug Court
Reporting Forms
Quarterly Reporting Form - FY26
Quarterly Reporting Form - FY25
Integrated Crisis Beds
Reporting forms
Quarterly Integrated Crisis Bed Disposition Report 2026
Preferred Treatment Provider Dashboard
Link to PowerBI Dashboard
Preferred Treatment Provider Dashboard
Recovery
Recovery Housing Programs
Reporting Forms
Recovery Housing Quarterly Report
Recovery Residence Reporting FY26
Recovery Residence Weekly Utilization Submission
Guidance Documents
Recovery Residence Reporting Instructions FY26
Recovery Residence Reporting Frequently Asked Questions (FAQ)
Recovery Services
Reporting Forms
GPRA Informed Consent Form
GPRA Online Submission Form
GPRA Form (Printable Version)
Needs Statement & Budget
Quarterly Progress Report
(BASE)
Quarterly Progress Report (SOR)
Pay for Performance Submission Form (SOR)
Pay for Performance Submission Form (Base)
Recovery Center Critical Incident Form
Budget & Budget Narrative Template
Submit Budget & Budget Narrative
Submit Workplan
(BASE)
Submit Workplan (SOR)
Submit Recovery Credentialing Reporting (PreventionWorks)
Guidance Documents
Budget & Budget Narrative Instructions
Certified Recovery Services Organization Standards
GPRA
TEST
Online Submission Form
GPRA Interview Best Practices
GPRA Technical Skills Training
GPRA FAQ Guidance Document
GPRA Tracker Template
GPRA Error Resubmission Process
Financial Review Prep & Guidance
Contact Us
Substance Use Programs (DSU)
Vermont Department of Health
280 State Drive
Waterbury, VT 05671-8340
802-651-1550
[email protected]
Topics:
Quality Improvement
Last Updated:
March 23, 2026
Skip to main content
MENU
x
CLOSE
Translations for you
Reporting Forms & Guidance Documents
Grantees & Contractors
Reporting Forms & Guidance Documents
Substance Use Messaging Resources
Requests for Proposals, Information and Applications
Federal and State Authority
As a grantee, you are required to submit reports according to the schedule specified in your grant. Find your program's reporting forms and guidance documents below.
All Providers, Grantees & Contractors
Grant Reporting Update
Grant Invoice Template and Submission Tool
Template and Submission Tool
Grant Invoice Template
-
effective 12/1/24
Grant Invoice Submission Tool
- updated 1/03/22
Evaluation Training & Templates
Resources
Logic Models Overview
Logic Model Templates
Evaluation Plan Overview
Evaluation Plan Template
Training & Event Data Collection
Guidance Documents
Reporting Instructions
Wording for Event Attendee Evaluations
Data Collection Tool
Reporting Forms
Workforce Development Reporting Form
Grantee Quarterly Reporting and Evaluation Summary Form
Prevention Workforce Development Tracking Form
Important Links
Harm Reduction Grants
Prevention Grants
Intervention Grants
Treatment Grants
Recovery Grants
Harm Reduction
Community Drug Checking
Guidance Documents
Drug Checking Guidelines
Reporting Forms
Monthly Report Submission
Quarterly Report Submission
Community Syringe Disposal
Reporting Forms
Report Submission
Overdose Data to Action (OD2A) Grants
Reporting Forms
Budget Narrative
Guidance Documents
Budget Guidance
Overdose Data to Action Performance Measure Brief: Year 2
CDC OD2A Strategy List
CDC OD2A Performance Measures
CDC From SMART to SMARTIE Objectives
Reporting Portal (Alchemer)
Quarterly Report for FY26 Health Services and Professionals
Quarterly Report for FY26 Recovery Centers
Quarterly Report for FY26 SSPs
Reporting Form FY26
Overdose Prevention Centers
Guidance Documents
Overdose Prevention Centers Guidelines
Reporting Forms
Overdose Prevention Centers Budget Template
Overdose Prevention Centers Reconciliation Template
Overdose Prevention Centers Workplan and Timeline Template
Reporting portal (alchemer)
Overdose Prevention Centers Reporting
Syringe Services Programs (SSP)
Guidance Documents
SSP Operating Guidelines
Reporting Forms
Quarterly Status Report Submission
Annual Report Submission
Prevention
National Outcome Measures (NOMs)
The National Outcome Measures (NOMs) are the federal Substance Abuse and Mental Health Services Administration's (SAMHSA) approach to performance measures. States are required to report on National Outcome Measures for both prevention and treatment programs as part of block grant requirements.
National Outcome Measures are broken down into sub-categories called “domains”. Vermont is collecting data from prevention grantees to report on the three domains in
bold
below. DSU grantees are required to collect the data throughout their grant period and submit it as part of their regular reporting activities for the grant.
Domain 1: Reduced Morbidity – Abstinence from Drug or Alcohol Use
Domain 2: Employment/Education
Domain 3: Crime and Criminal justice
Domain 4: Social Connectedness
Domain 5: Access/Capacity
Domain 6: Retention
Domain 7: Cost Effectiveness
Domain 8: Use of Evidence-based Practices and Strategies
Guidance Document
NOMs Data Collection Form
Reporting Form
NOMs Reporting Form
Law Enforcement Drug Disposal Project
Reporting Forms
Budget Form
Budget Narrative
Expense Form
Monthly Metric Report
MyTime
Reporting Forms
Reporting Form
Prevention Leads
Guidance Documents
Workplan Template
Budget Template
Reporting Forms
VPLO Budget, Budget Narrative and Workplan
VPLO Quarterly Report
Regional Prevention Partnerships
Reporting Forms
Budget Form
Quarterly Report
Workplan Template
Budget Narrative
Guidance Documents
Evaluation Plan Template
"Developing evaluation plans" training (video)
"Developing evaluation plans" training presentation (PDF)
Regional Prevention Partnership County Profiles available on the
Data & Reports
page.
School Grants
Reporting Forms
Budget Form - FY26
Budget Narrative - FY26
Implementation Plan Form - FY26
Capacity Plan Form - FY26
Quarterly Reporting - FY26
Quarterly Report - FY25
Budget, Budget Narrative, and Implementation Plan Submission Form
Up for Learning Quarterly Report
Vaping Prevention Grant
Guidance Documents
Workplan Template
Budget Template
Reporting Forms
Quarterly Report Form
Budget, Budget Narrative, and Workplan
Intervention
Public Inebriate Program
Reporting Forms
Quarterly Reporting Form - FY25
Quarterly Reporting Form - FY26
Initial Report
Public Inebriate Program Manual
Public Inebriate Program Frequently Asked Questions
Public Inebriate Program Law Enforcement Training
Public Inebriate Program Law Enforcement Quick Guide
Treatment
All Treatment Providers
Reporting Forms
Critical Incident Form
Block Grant Quarterly Reporting Form - FY26
Block Grant Quarterly Reporting Form – FY25
Monthly Wait Times and Service Requests Summary Form - FY26
Monthly Wait Times and Service Requests Summary Form – FY 25
Contingency Management and Outreach and Engagement Quarterly Reporting Form – FY26
Contingency Management and Outreach and Engagement Quarterly Reporting Form – FY25
Guidance Documents
Clinically Managed Residential Withdrawal Management Clinical Guidelines
Medicaid Rate Sheet
Substance Abuse Treatment Information System Manual – For Legacy Systems
Substance Abuse Treatment Information System Manual – For EHR Extracts (2019)
Contingency management
"Contingency Management and Substance Use" training 2025
Part 1 Recorded Training
Part 1 Presentation PDF
Part 2 Recorded Training
Part 2 Presentation PDF
"Contingency Management Approaches" training 2024
Part 1 Recorded Training (audio only)
Part 2 Recorded Training
Presentation PDF (parts 1 & 2)
Drug Court
Reporting Forms
Quarterly Reporting Form - FY26
Quarterly Reporting Form - FY25
Integrated Crisis Beds
Reporting forms
Quarterly Integrated Crisis Bed Disposition Report 2026
Preferred Treatment Provider Dashboard
Link to PowerBI Dashboard
Preferred Treatment Provider Dashboard
Recovery
Recovery Housing Programs
Reporting Forms
Recovery Housing Quarterly Report
Recovery Residence Reporting FY26
Recovery Residence Weekly Utilization Submission
Guidance Documents
Recovery Residence Reporting Instructions FY26
Recovery Residence Reporting Frequently Asked Questions (FAQ)
Recovery Services
Reporting Forms
GPRA Informed Consent Form
GPRA Online Submission Form
GPRA Form (Printable Version)
Needs Statement & Budget
Quarterly Progress Report
(BASE)
Quarterly Progress Report (SOR)
Pay for Performance Submission Form (SOR)
Pay for Performance Submission Form (Base)
Recovery Center Critical Incident Form
Budget & Budget Narrative Template
Submit Budget & Budget Narrative
Submit Workplan
(BASE)
Submit Workplan (SOR)
Submit Recovery Credentialing Reporting (PreventionWorks)
Guidance Documents
Budget & Budget Narrative Instructions
Certified Recovery Services Organization Standards
GPRA
TEST
Online Submission Form
GPRA Interview Best Practices
GPRA Technical Skills Training
GPRA FAQ Guidance Document
GPRA Tracker Template
GPRA Error Resubmission Process
Financial Review Prep & Guidance
Contact Us
Substance Use Programs (DSU)
Vermont Department of Health
280 State Drive
Waterbury, VT 05671-8340
802-651-1550
[email protected]
Topics:
Quality Improvement
Last Updated:
March 23, 2026