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ATTACHMENT I—REPORTING FORMS <br /> FLORIDA DIVISION OF EMERGENCY MANAGEMENT <br /> 2020-2021 EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE GRANT-EMPA <br /> DIVISION FORM 2B-DETAIL OF CLAIMS <br /> SALARIES AND BENEFITS COSTS <br /> SALARY DEFINITION: The cash compensation for services rendered by a regular employee in an <br /> established position for a specific period of time. <br /> RECIPIENT: Florida County CLAIM#: <br /> DOES THIS CLAIM FOR REIMBURSMENT INCLUDE ANY INCENTIVES OR SPECIAL PAY? I <br /> Note:If this claim includes incentives or special pay,please provide the Division with the written established policy for support. <br /> %TIME <br /> EM EMPLOYEE NAME EM POSITION TITLE CHARGED TO SALARY FRINGE <br /> EMPA BENEFITS <br /> 1 Ex Jane Doe EM Planner 50% $ 5,000.00 $ 1,200.00 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> TOTALS $ 5,000.00 $ 1,200.00 <br /> TOTAL $ 6,200.00 <br /> By signing this report,I certify to the best of my knowledge and belief that the report is true,complete,accurate and the <br /> expenditures disbursements and cash receipts are for the purposes and objectives set forth in the conditions of the 2020-2021 <br /> EMPA agreement <br /> SIGNATURE: <br /> AUTHORIZED REPRESENTATIVE <br /> PRINTED NAME: <br /> TITLE: <br /> DATE: <br /> 61 <br />