Постановление Правительства Пермского края от 24.12.2013 № 1804-п

     1.    Настоящий   Порядок   устанавливает   механизм   проведения

мониторинга  оказания  государственной  социальной помощи на основании

социального контракта.

     2.   Территориальный   орган  Министерства  социального  развития

Пермского   края   (далее   -   соответственно  территориальный  орган

Министерства,    Министерство)    осуществляет   мониторинг   оказания

государственной социальной помощи на основании социального контракта.

     3.  Ежеквартально,  до  10  числа  месяца, следующего за отчетным

кварталом,   территориальный   орган   Министерства   представляет   в

Министерство    информацию    о    проведении   мониторинга   оказания

государственной  социальной  помощи на основании социального контракта

по форме согласно приложению 1 к настоящему Порядку.

     4.  Ежегодно,  до  15  января года, следующего за отчетным годом,

территориальный   орган   Министерства   представляет  в  Министерство

информацию   о   проведении   мониторинга   оказания   государственной

социальной   помощи   на  основании  социального  контракта  по  форме

согласно приложению 2 к настоящему Порядку.

                                   Приложение 1

                                   к Порядку проведения мониторинга

                                   оказания государственной социальной

                                   помощи на основании социального

                                   контракта

     Приложения 1    к   Порядку   проведения   мониторинга   оказания

государственной социальной помощи на основании социального контракта в

формате MS-WORD приводятся в виде отдельного файла

                                   Приложение 2

                                   к Порядку проведения мониторинга

                                   оказания государственной социальной

                                   помощи на основании социального

                                   контракта

                                                                 ФОРМА

                              ИНФОРМАЦИЯ                             

 о проведении мониторинга оказания государственной социальной помощи

                  на основании социального контракта                 

______________________________________________________________________

         (наименование территориального органа Министерства)

                         за ____________ год

-----------------T------T---------------T---------------T-----------------------T-----------T-----------T----------T--------------T--------------T-----------¬

¦                ¦   N  ¦  Численность  ¦    Из них     ¦   Число социальных    ¦  Средний  ¦Численность¦  Средний ¦  Численность ¦    Средний   ¦Численность¦

¦                ¦строки¦   граждан,    ¦  численность  ¦ контрактов в отчетном ¦   срок    ¦ граждан,  ¦  размер  ¦   граждан,   ¦    размер    ¦ граждан,  ¦

¦                ¦      ¦  получивших   ¦   граждан,    ¦        периоде        ¦ действия  ¦получивших ¦регулярной¦  получивших  ¦единовременной¦получивших ¦

¦                ¦      ¦государственную¦  получивших   ¦                       ¦социального¦регулярные ¦ денежной ¦единовременную¦   денежной   ¦натуральную¦

¦                ¦      ¦  социальную   ¦государственную¦                       ¦ контракта ¦ денежные  ¦  выплаты ¦   денежную   ¦    выплаты   ¦  помощь   ¦

¦                ¦      ¦    помощь     ¦  социальную   ¦                       ¦           ¦  выплаты  ¦          ¦    выплату   ¦              ¦           ¦

¦                ¦      ¦               ¦   помощь на   ¦                       ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦                ¦      ¦               ¦   основании   ¦                       ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦                ¦      ¦               ¦  социального  ¦                       ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦                ¦      ¦               ¦   контракта   ¦                       ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦                ¦      ¦               ¦               +-----------T-----------+           ¦           ¦          ¦              ¦              ¦           ¦

¦                ¦      ¦               ¦               ¦заключенных¦действующих¦           ¦           ¦          ¦              ¦              ¦           ¦

¦                ¦      ¦               ¦               ¦ в течение ¦ на конец  ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦                ¦      ¦               ¦               ¦  периода  ¦  периода  ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦        1       ¦   2  ¦       3       ¦       4       ¦     5     ¦     6     ¦     7     ¦     8     ¦     9    ¦      10      ¦      11      ¦    12     ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦Получатели      ¦  01  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦государственной ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦социальной      ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦помощи - всего  ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦в том числе     ¦  02  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦проживающие:    ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦в городской     ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦местности       ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦в сельской      ¦  03  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦местности       ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦Из числа        ¦  04  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦получателей     ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦государственной ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦социальной      ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦помощи:         ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦малоимущие      ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦семьи           ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦(малоимущие     ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦одиноко         ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦проживающие     ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦граждане)       ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦семьи с детьми  ¦  05  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦до 16 лет       ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦из них:         ¦  06  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦матери (отцы) с ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦детьми          ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦семьи с 3 и     ¦  07  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦более детьми    ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦семьи, имеющие  ¦  08  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦в составе       ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦инвалидов       ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦семьи, имеющие  ¦  09  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦в своем составе ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦неработающих    ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦лиц             ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦трудоспособного ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦возраста        ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦Из числа        ¦  10  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦получателей     ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦государственной ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦социальной      ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦помощи:         ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦дети в возрасте ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦до 16 лет       ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦население       ¦  11  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦трудоспособного ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦возраста        ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦в том числе:    ¦  12  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦молодежь в      ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦возрасте 16 -   ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦30 лет          ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

+----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+-----------+

¦население       ¦  13  ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦старше          ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦трудоспособного ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

¦возраста        ¦      ¦               ¦               ¦           ¦           ¦           ¦           ¦          ¦              ¦              ¦           ¦

L----------------+------+---------------+---------------+-----------+-----------+-----------+-----------+----------+--------------+--------------+------------

     Справочно:

     Число  прекращенных  социальных  контрактов  до  окончания  срока

действия социального контракта (14) ___________ единиц.

      II. Реализация мероприятий программы социальной адаптации     

     получателями государственной социальной помощи на основании    

                        социального контракта                       

-----------------------T------T------------------T----------------T-------------------T------------T-----------T--------------¬

¦                      ¦   N  ¦    Численность   ¦   Численность  ¦    Численность    ¦ Численность¦Численность¦  Численность ¦

¦                      ¦строки¦     граждан,     ¦    граждан,    ¦     граждан,      ¦  граждан,  ¦ граждан,  ¦   граждан,   ¦

¦                      ¦      ¦зарегистрированных¦    прошедших   ¦  осуществляющих   ¦   ведущих  ¦  которым  ¦осуществляющих¦

¦                      ¦      ¦ в органах службы ¦профессиональную¦  индивидуальную   ¦   личное   ¦  оказаны  ¦    другие    ¦

¦                      ¦      ¦     занятости    ¦   подготовку,  ¦предпринимательскую¦  подсобное ¦социальные ¦ мероприятия, ¦

¦                      ¦      ¦ населения в целях¦ переподготовку ¦   деятельность    ¦  хозяйство ¦  услуги   ¦ направленные ¦

¦                      ¦      ¦   поиска работы  ¦                ¦                   ¦            ¦           ¦      на      ¦

¦                      ¦      ¦                  ¦                ¦                   ¦            ¦           ¦  преодоление ¦

¦                      ¦      ¦                  ¦                ¦                   ¦            ¦           ¦  гражданином ¦

¦                      ¦      ¦                  ¦                ¦                   ¦            ¦           ¦    трудной   ¦

¦                      ¦      ¦                  ¦                ¦                   ¦            ¦           ¦   жизненной  ¦

¦                      ¦      ¦                  ¦                ¦                   ¦            ¦           ¦   ситуации   ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦           1          ¦   2  ¦         3        ¦        4       ¦         5         ¦      6     ¦     7     ¦       8      ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦Получатели            ¦  01  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦государственной       ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦социальной помощи на  ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦основании социального ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦контракта - всего     ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦в том числе           ¦  02  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦проживающие:          ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦в городской местности ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦в сельской местности  ¦  03  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦Из числа получателей  ¦  04  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦государственной       ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦социальной помощи на  ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦основании социального ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦контракта:            ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦малоимущие семьи      ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦(малоимущие одиноко   ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦проживающие граждане) ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦семьи с детьми до 16  ¦  05  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦лет                   ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦из них:               ¦  06  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦матери (отцы) с детьми¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦семьи с 3 и более     ¦  07  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦детьми                ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦семьи, имеющие в      ¦  08  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦составе инвалидов     ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦семьи, имеющие в      ¦  09  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦своем составе         ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦неработающих лиц      ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦трудоспособного       ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦возраста              ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦Из числа получателей  ¦  10  ¦         X        ¦        X       ¦         X         ¦      X     ¦           ¦       X      ¦

¦государственной       ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦социальной помощи на  ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦основании социального ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦контракта:            ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦дети в возрасте до 16 ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦лет                   ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦население             ¦  11  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦трудоспособного       ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦возраста              ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦в том числе:          ¦  12  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦молодежь в возрасте   ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦16 - 30 лет           ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

+----------------------+------+------------------+----------------+-------------------+------------+-----------+--------------+

¦население старше      ¦  13  ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦трудоспособного       ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

¦возраста              ¦      ¦                  ¦                ¦                   ¦            ¦           ¦              ¦

L----------------------+------+------------------+----------------+-------------------+------------+-----------+---------------

      III. Основные показатели для оценки эффективности оказания     

 государственной социальной помощи на основании социального контракта

------------------T------T-----------------------T--------------T---------------T----------------T--------------T--------------¬

¦                 ¦   N  ¦ Среднемесячный доход  ¦  Численность ¦  Численность  ¦   Численность  ¦  Численность ¦  Численность ¦

¦                 ¦строки¦         семьи         ¦   граждан,   ¦трудоустроенных¦   граждан, у   ¦  граждан, у  ¦   граждан,   ¦

¦                 ¦      ¦                       ¦    имеющих   ¦  граждан из   ¦     которых    ¦    которых   ¦ преодолевших ¦

¦                 ¦      ¦                       ¦среднемесячный¦     числа     ¦   увеличился   ¦  увеличились ¦    трудную   ¦

¦                 ¦      ¦                       ¦  доход ниже  ¦  получателей  ¦    доход от    ¦  натуральные ¦   жизненную  ¦

¦                 ¦      ¦                       ¦ прожиточного ¦государственной¦    трудовой    ¦  поступления ¦   ситуацию   ¦

¦                 ¦      ¦                       ¦  минимума по ¦  социальной   ¦ деятельности по¦  из личного  ¦              ¦

¦                 ¦      ¦                       ¦   окончании  ¦   помощи на   ¦ окончании срока¦  подсобного  ¦              ¦

¦                 ¦      ¦                       ¦     срока    ¦   основании   ¦    действия    ¦ хозяйства по ¦              ¦

¦                 ¦      ¦                       ¦   действия   ¦  социального  ¦   социального  ¦   окончании  ¦              ¦

¦                 ¦      ¦                       ¦  социального ¦   контракта   ¦    контракта   ¦     срока    ¦              ¦

¦                 ¦      ¦                       ¦   контракта  ¦               ¦                ¦   действия   ¦              ¦

¦                 ¦      ¦                       ¦              ¦               ¦                ¦  социального ¦              ¦

¦                 ¦      ¦                       ¦              ¦               ¦                ¦   контракта  ¦              ¦

+-----------------+------+-----------T-----------+              ¦               ¦                ¦              ¦              ¦

¦                 ¦      ¦    до     ¦    по     ¦              ¦               ¦                ¦              ¦              ¦

¦                 ¦      ¦заключения ¦ окончании ¦              ¦               ¦                ¦              ¦              ¦

¦                 ¦      ¦социального¦   срока   ¦              ¦               ¦                ¦              ¦              ¦

¦                 ¦      ¦ контракта ¦ действия  ¦              ¦               ¦                ¦              ¦              ¦

¦                 ¦      ¦           ¦социального¦              ¦               ¦                ¦              ¦              ¦

¦                 ¦      ¦           ¦ контракта ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦        1        ¦   2  ¦     3     ¦     4     ¦       5      ¦       6       ¦        7       ¦       8      ¦       9      ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦Получатели       ¦  01  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦государственной  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦социальной       ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦помощи на        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦основании        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦социального      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦контракта - всего¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦в том числе      ¦  02  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦проживающие:     ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦в городской      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦местности        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦в сельской       ¦  03  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦местности        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦Из числа         ¦  04  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦получателей      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦государственной  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦социальной       ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦помощи на        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦основании        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦социального      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦контракта:       ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦малоимущие семьи ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦(малоимущие      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦одиноко          ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦проживающие      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦граждане)        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦семьи с детьми   ¦  05  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦до 16 лет        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦из них:          ¦  06  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦матери (отцы) с  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦детьми           ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦семьи с 3 и      ¦  07  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦более детьми     ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦семьи, имеющие в ¦  08  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦составе инвалидов¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦семьи, имеющие в ¦  09  ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦своем составе    ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦неработающих лиц ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦трудоспособного  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦возраста         ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦Из числа         ¦  10  ¦     X     ¦     X     ¦              ¦               ¦                ¦              ¦              ¦

¦получателей      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦государственной  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦социальной       ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦помощи на        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦основании        ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦социального      ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦контракта: дети  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦в возрасте до 16 ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦лет              ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦население        ¦  11  ¦     X     ¦     X     ¦              ¦               ¦                ¦              ¦              ¦

¦трудоспособного  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦возраста         ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦в том числе:     ¦  12  ¦     X     ¦     X     ¦              ¦               ¦                ¦              ¦              ¦

¦молодежь в       ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦возрасте 16-30   ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦лет              ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

+-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+--------------+

¦население старше ¦  13  ¦     X     ¦     X     ¦              ¦               ¦                ¦              ¦              ¦

¦трудоспособного  ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

¦возраста         ¦      ¦           ¦           ¦              ¦               ¦                ¦              ¦              ¦

L-----------------+------+-----------+-----------+--------------+---------------+----------------+--------------+---------------

     Справочно:

     Численность  граждан,  повторно  обратившихся  за государственной

социальной   помощью   после   окончания  срока  действия  социального

контракта, (14) ______________ человек.

     Руководитель ___________________________                        

                            (ФИО)

     Исполнитель ___________________________                         

                       (ФИО, телефон)