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<br />Attachment A <br /> <br />Instruction Sheet for the Reimbursement Request <br /> <br />Applicant <br /> <br />Award Number <br /> <br />OES ID # <br /> <br />Address Cbanges <br /> <br />Project Number and <br />Solution Area <br /> <br />Expenditure Period <br /> <br />Total Expeuditures <br />for the Expenditure <br />Period <br /> <br />Authorized Agent <br />Information <br /> <br />Mail <br /> <br />Supporting <br />Documents <br /> <br />The applicant is the core city/transit agency, as identified in the original grant <br />application. Do not identify any sub-departments or offices as the applicant. <br /> <br />The award number is identified on tbe Notification of Application Approval letter. <br /> <br />The OES ID# is the core city/transit agency's identification number as identified on the <br />Notification of Application Approval letter. <br /> <br />Indicate a change in address by checking the box shown and noting the new address in <br />the area marked "mailing address". <br /> <br />Indicate the project number and solution area as noted for the project on the <br />Project Narrative and Budget Worksheet. <br /> <br />Indicate the expenditure period for which funds are being requested. Identify the <br />month and year for the beginning and ending of the period covered by this request. <br />This is not the Peiformance Period listed on the Notification of Application Approval <br />letter. The grant recipient may indicate different from/to dates for each project. <br /> <br />The expenditure period cannot cross state fiscal years, therefore, separate requests must <br />be submitted for expenditures incurred on or before June 30, and on or after July 1. <br /> <br />Indicate the total expenditures for the expenditure period. Based upon the total <br />expenditures and amounts previously paid to the grant recipient, the state will <br />automatically calculate the funds that can be paid, and will process a payment <br />request for that amount. <br /> <br />Complete all line items requested and ensure that the fonn is signed by an Authorized <br />Agent named in the Governing Body Resolution <br /> <br />Mail the original to the address identified at the top of the request form. <br /> <br />Supporting documents are not required to be submitted with the Reimbursement <br />Request; however, the state reserves the right to request documentation at any time. <br />Grant recipients are reminded to maintain documents that support the expenditure <br />amounts shown on the request. <br /> <br />FY04 Urban Areas Security Initiative <br /> <br />Page 79 <br />