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JUSTIFICATION FOR ADVANCE PAYMENT <br />RECIPIENT: <br />If you are requesting an advance, indicate same by checking the box below. <br />[ ] ADVANCE REQUESTED <br />Advance payment of $ is requested. <br />Balance of payments will be made on a reimbursement basis. These <br />funds are needed to pay staff, award benefits to clients, duplicate forms <br />and purchase start-up supplies and equipment. We would not be able to <br />operate the program without this advance. <br />If you are requesting an advance, complete the following chart and line item justification below. <br />ESTIMATED EXPENSES <br />BUDGET CATEGORY/LINE ITEMS <br />20_-20_ Anticipated Expenditures for First Three Months of <br />(list applicable line items) <br />Contract <br />For example <br />ADMINISTRATIVE COSTS <br />(Include Secondary Administration.) <br />For example <br />PROGRAM EXPENSES <br />TOTAL EXPENSES <br />LINE ITEM JUSTIFICATION (For each line item, provide a detailed justification explaining the need for the cash advance. <br />The justification must include supporting documentation that clearly shows the advance will be expended within the first ninety <br />(90) days of the contract term. Support documentation should include .quotes for purchases, delivery timelines, salary and <br />expense projections, etc. to provide the Division reasonable and necessary support that the advance will be expended within the <br />first ninety (90) days of the contract term. Any advance funds not expended within the first ninety (90) days of the contract term <br />must be returned to the Division Cashier, 2555 Shumard Oak Boulevard, Tallahassee, Florida 32399, within thirty (30) days of <br />receipt, along with any interest earned on the advance) <br />Attachment T" <br />P87 <br />