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1W _ • — — <br /> ❑ Does the hotel receipt have a zero balance ? If applicable , have a travel authorization and <br /> travel reimbursement form been included to account for per diem , mileage and other <br /> travel expenses which have been reimbursed to the traveler by sub grantee ? <br /> ❑ 2 . If travel is a conference has the conference agenda been included ? <br /> ❑ 3 . Has proof of payment to traveler been included ? ( E . g . canceled check , Electronic Funds <br /> Transfer ( EFT) confirmation , or copy of payroll check if reimbursed through payroll ) . <br /> Organization <br /> ❑ 1 . If billing for overtime and backfill , has a spreadsheet been provided that lists attendee <br /> names , department, and # of hours spent at EOC , hourly rate and total paid to <br /> each <br /> attendee? Have print outs from entity ' s financial system been provided to prove <br /> attendees were paid ? For backfill , has a clear delineation/cross reference been provided <br /> showing who was backfilling who? <br /> Matchinor Funds <br /> ❑ I . Contributions are from Non Federal funding sources . <br /> ❑ 2 . Contributions are from cash or in - kind contributions which may include training <br /> investments . ' <br /> ❑ 3 . Contributions are not from salary , overtime or other operational costs unrelated to <br /> training . <br /> For AU Reimbursements - The Final Check <br /> i <br /> ❑ 1 . Have Forms 3 , 4a , 4b and 4c been completed and included with each request for <br /> reimbursement? <br /> ❑ 2 . Have the costs incurred been charged to the appropriate POETE category? <br /> ❑ 3 . Does the total on Form 3 match the totals on Forms 4a, 4b and 40 <br /> ❑ 4 . Has Form 3 been signed by the Grant Manager? <br /> ❑ 5 . Has the reimbursement package been entered into sub grantee ' s records/spreadsheet? <br /> ❑ 6 . Have the quantity and unit cost been notated on Form 4b ? <br /> 39 <br />