For Current Service Providers

Reporting Documents

There are two sections to Komen NEO  reports – the Project Narrative and the Client Tracking Spreadsheet. The Project Narrative is to be submitted via this SurveyMonkey link. The Client Tracking Spreadsheet should be submitted via email to Gina Chicotel at

This reports are to be submitted quarterly based on the following schedule.

Reporting Period

Due Date

April 1, 2019 – June 30, 2019

July 15, 2019

July 1, 2019 – September 30, 2019

October 15, 2019

October 1, 2019 – December 31, 2019

January 15, 2019

January 1, 2020 – March 31, 2020

May 15, 2020

If you need an extension on report deadlines, please contact Gina Chicotel at

Service Agreement Changes/Amendments

Service agreement providers are required to notify Komen Northeast Ohio in writing at least 30 days in advance of and must receive prior written approval for any proposed changes to the personnel, design, budget, collaborating organizations (if any), content, or specific aims of the Project. Komen Northeast Ohio will have at least 14 days to review and accept/reject any proposed changes.

Amendments and service agreement changes can only be initiated by the Project Director. Amendments may be submitted for the following:

  • A no-cost extension request
  • Budget changes
  • Personnel changes
  • Other requests as deemed appropriate by the Affiliate

Please contact Gina Chicotel at or (216) 292-2873 x112 with any questions or concerns.