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must be submitted. (E . g. canceled check, Electronic Funds Transfer (EFT) <br /> confirmation, or P-Card back up documentation to include receipt with vendor, <br /> copy of credit card statement showing expense charged, and payment to credit <br /> card Company for that statement) . <br /> Travel/Conterences <br /> ❑ 1 . Have all receipts been turned in such as . airplane receipts, proof of mileage , toll <br /> receipts, hotel receipts, car rental receipts, registration fee receipts and parking <br /> receipts? Are these receipts itemized? Do the dates of the receipts match the <br /> date(s) of travel/conference? Does the hotel receipt have a zero balance? If <br /> applicable, have a travel authorization and travel reimbursement form been <br /> included to account for per diem, mileage and other travel expenses which have <br /> 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 <br /> Funds Transfer (EFT) confirmation, or copy of payroll check if reimbursed <br /> through payroll) . <br /> Organization <br /> ❑ 1 . If billing for overtime and backfill , has a spreadsheet been provided that lists <br /> attendee names , department, # of hours spent at EOC , hourly rate and total paid to <br /> each attendee? Have print outs from entity' s financial system been provided to <br /> prove attendees were paid? For backfill , has a clear delineation/cross reference <br /> been provided showing who was backfilling who ? <br /> Matching Funds <br /> ❑ 1 . 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 All Reimbursements - The Final Check <br /> ❑ I . 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 <br /> records/spreadsheet? <br /> ❑ 6 . Have the quantity and unit cost been notated on Form 4b? <br /> Page 48 of 48 <br />