55B - RESO - AA - AGMT - EMPG - Laserfiche WebLink

Home Browse Search

Dates of Payroll Period Total Salary and Benefits Charged for this Reporting Period Total Project Hours Reimbursement Request Number Total Cost Charged to this Grant Provide the Dates of the Payroll Period. Provide the Total Salary and Benefits Charged for the Reporting Period Enter the Total Project Hours In this column. Enter the Reimbursement Request number. Enter the Total Cost Charged to the Grant In this column. Provide detailed Information on Match (Not applicable for all grants). Project Select the project letter from the drop -down list, or manually enter the letter In capitalization format. Direct/Subaward Use the drop -down list to Identify if the Project is Direct or Subaward Project Name Enter the name of the project. Funding Source Select a Funding Source from the drop -down list. A full description of the Funding Source can be viewed In Comments (place purser over Column D, Row 21). Discipline Select a Discipline from the drop -down list. A full description of the Disciplines can be viewed in Comments (place cursor over Column E, Row 21). Solution Area Select a Solution Area from the drop -down list. Solution Area Sub - Category Select a Solution Area Sub- Category from the drop -down list. This list Is dependent on a selection from the Solution Area Category drop -down list. The Solution Area Sub- Category will not display the drop -down list unless a Solution Area Category is selected. Type of Match Select the Type of Match options from the drop -down list Total Obligated Match Enter the total obligated match amount for this project In this column. Previous Match expended Automatic calculation of amount approved previous. warnlnei Do not enter mfmmaton in this column, contains formulas. Current Match For Reimbursement requests, enter the current match amount In this column. Reimbursement Request Number Enter the Reimbursement Request number for this reimbursement. Total Match Expended Automated calculation of Total Match Expended. Warning, Do not enter'nformation In this column, contains formulas. Remaining Balance Automatic calculation of Remaining Balance. warningl on not enter Information In this column, contains formulas. Percentage Expended Automatic calculation of Percentage Expended. Wominyi Dc not enter information m this column, contains formulas. Authorized Agent sheet must accompany ALL Reimbursement Requests, Modifications and the Initial Application, Type Click on the appropriate button to describe what type of workbook is being submitted. Available options are: INITIAL APPLICATION, REIMBURSEMENT REQUEST, FINAL REIMBURSEMENT REQUEST and MODIFICATION Expenditure Period Dates Enter the beginning and ending expenditure period dates. REIMBURSEMENT REQUEST: Expenditure periods are decided by the Subgrantee and can span single or multiple months at a time. NOTE: Expenditure periods cannot cross state fiscal year. Modifications do not require expenditure period entries. REIMB or MOD Request # Enter the REIMB or MOD Request # that Is associate with the most recent request. Amount This Request Enter the amount that is being requested. Authorized Agent Enter the name of Authorized Agent. Sign and date after printing. Original signature required. Send hard copy of workbook to address (provided). Mail workbook to: E..ra.nw Management PerformanceGrants EMPG. Program Specialist Name California Governor's Office of Emergency Services 3650 Schriever Avenue Mather, CA 95655 55B -67 FMFW v1.15 - 2015