OVCMIS Form 001: Work Plan Format

Objective: This form is intended to record in a chronological manner; the activity,

timelines for implementation, resource requirements and person.

Timing: Beginning of quarter, financial year and/ or during any action planning
phase.

Copies: Three sets. A copy remains at service provider’s office. Duplicate copy is
sent to sub county and triplicate copy is sent to District Community Based
Service Department (CBSD). Note that copy to the district should be
addressed to the Chief Administrative Officer.

Responsibility: Work plan should be shared by the service provider (person with
authority).

Procedure: Table 1 provides the format for developing a work plan for a service
provider. It comprises of four parts; action point with targets, timeline,
responsible person (person/organization that will be responsible for
accomplishing task) and resources (required in order to achieve task).
 OVCMIS FORM 001: Work Plan Format
Name of OVC Service Provider: ____________________________________________________________
District: _______________________________________ Sub counties of operation: ______________________________________________________________
Quarter: _____________________________________________________Financial Year: _____________________________
Activity Time line (indicate specific Responsible Resources (include
month/dates for certain category of person/ technical and logistical
activities, for example, data entry Agency requirements, budget and Source(s) of funding
should be completed by a certain date) source of funds if deemed
Month Month Month necessary)