Get documents about "2012Subawardee Fiscal Report Form 2012
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Sub-awardee Fiscal Report Form 1
CHAPTER USE ONLY
Sub-award Identification
Number: Agency name: Approved By
Authorized Agency
Representative: Organization City: Date Approved
Fiscal Contact Person: Organization State:
Phone Number: Email:
Awarded Amount
Approved Itemized Costs within each category Balance
Budget Expenditures per (Itemize the costs included in each category. Give a brief description of each line item) remaining per
Requested According to category for In order to create a new line within a cell, please hit "Alt" and "Enter." Total Amount category after
Categories Budget BMR** report 1 Make sure to expand each row as necessary so all itemizations are visible. Approved Notes and Deductions from Chapter report 1
In this cell, please detail the employees' names, titles and requested amounts for their salaries.
Personnel $0.00
Fringe Benefits $0.00
Travel $0.00
Equipment $0.00
Supplies $0.00
Consultant/Contract (max
$56.25 per hour) $0.00
Other $0.00
Attention: If the cumulative percent of budget changes is over 10%, a
Totals $0.00 $0.00 $0.00 $0.00 Budget Modification Request is required.
Total amount approved by Chapter in report 1: $0.00 Cumulative percent moved: #DIV/0!
Grant Balance after reporting period 1: $0.00
**Prior to filling out the "Approved Budget Changes from BMR" column, you need to have an approved Budget Modification Request on file with your Chapter. This column should contain data submitted to and approved by your Chapter prior to
submitting this report.
Grantees may request modification to the approved budget in order to reallocate dollar amounts among budget categories within the existing award amount. The original award amount may not be increased by this procedure; however, it can be
decreased. Movement of dollars between approved budget categories without a BMR is allowable up to ten percent of the total award amount (the ten percent rule), provided there is no change in project scope.
Instructions:
1. For each line item (except personnel & fringe benefits) NCA requires at least two forms of supporting fiscal documentation that need to be included:
a. Proof of Expense: invoices, receipts or bills (copy of the document from the original vendor)
b. Proof of Payment: ledger (generated from an accounting system Peachtree, QuickBooks, etc.), canceled check, credit card/bank statement, or credit card receipt
c. Please cross reference both documents or attach them next to each other.
2. For Personnel and Fringe benefits NCA requires a proof of payment which could be any combination of the following : detailed ledgers, payroll documents, canceled checks, insurance invoices.
For more details for the required fiscal documentation, please see the rfiscal documentation sheet at http://www.nationalchildrensalliance.org/2011chaptergrantformsandreports
3. NCA can only reimburse travel expenses (mileage and lodging) at the Federal Per Diem rate. You can access Federal Per Diem rates at http://www.gsa.gov.
4. NCA can only reimburse expenses that were incurred during the grant cycle and are allowable expenses. The costs need to be directly related to the goals and objectives of the grant type and the grantee application.
5. Any other questions related to this form, please contact your Chapter representative.
If you used NCA grant funds to conduct/attend trainings, please give specifics and fill out the table below:
Attendees
Dates of the Location (please list only the MDT members/ CAC employees that are included
Topic/Name of the training Training Travel Dates (City, State) in your grant report)
Please follow the survey link to the right in order to answer the
narrative questions for your grant reporting. If you are unable
to open the survey by clicking the link, copy and paste the link
into your browser.
https://childrensmn.qualtrics.com/SE/?SID=SV_emQpdjKP7EDuweM
Important: After you submit your narrative form, you will
receive a confirmation email to the email address that you
enter. Please print the email and submit to your Chapter as
part of your grant report.
By submitting this information, I certify the accuracy of the information provided above:
Authorized Agency Representative Signature:
Authorized Agency Representative's Title:
Important: The Authorized Agency Representative must have signed the Cooperative Agreement . In case you have a change of staff please notify your Chapter before submitting the report. You MUST sign the report in the
boxes above with an electronic or handwritten signature.
Sub-awardee Fiscal Report Form 2
CHAPTER USE ONLY
Sub-award Identification
Number: Agency Name: Approved By
Authorized Agency
Representative: Organization City: Date Approved
Fiscal Contact Person: Organization State:
Phone Number: Email:
Awarded Amount $0.00
Balance Approved Itemized Costs within each category Balance
remaining per Budget Expenditures per (Itemize the costs included in each category. Give a brief description of each line item) remaining per
Requested category after According to category for In order to create a new line within a cell, please hit "Alt" and "Enter." Total Amount category after
Categories Budget report 1 BMR** report 2 Make sure to expand each row as necessary so all itemizations are visible. Approved Notes and Deductions from Chapter report 2
In this cell, please detail the employees' names, titles and requested amounts for their salaries.
Personnel $0.00 $0.00 $0.00
Fringe Benefits $0.00 $0.00 $0.00
Travel $0.00 $0.00 $0.00
Equipment $0.00 $0.00 $0.00
Supplies $0.00 $0.00 $0.00
Consultant/
Contract (max $56.25
per hour) $0.00 $0.00 $0.00
Other $0.00 $0.00 $0.00
Attention: If the cumulative percent of budget changes is over 10%, a
Totals $0.00 $0.00 $0.00 $0.00 $0.00 Budget Modification Request is required.
Total amount approved by Chapter in report 2: $0.00 Cumulative percent moved: #DIV/0!
Grant Balance after reporting period 2: $0.00
**Prior to filling out the "Approved Budget Changes from BMR" column, you need to have an approved Budget Modification Request on file with your Chapter. This column should contain data submitted to
and approved by your Chapter prior to submitting this report.
Grantees may request modification to the approved budget in order to reallocate dollar amounts among budget categories within the existing award amount. The original award amount may not be increased
by this procedure; however, it can be decreased. Movement of dollars between approved budget categories without a BMR is allowable up to ten percent of the total award amount (the ten percent rule),
provided there is no change in project scope.
Instructions:
1. For each line item (except personnel & fringe benefits) NCA requires at least two forms of supporting fiscal documentation that need to be included:
a. Proof of Expense: invoices, receipts or bills (copy of the document from the original vendor)
b. Proof of Payment: ledger (generated from an accounting system Peachtree, QuickBooks, etc.), canceled check, credit card/bank statement, or credit card receipt
c. Please cross reference both documents or attach them next to each other.
2. For Personnel and Fringe benefits NCA requires a proof of payment which could be any combination of the following : detailed ledgers, payroll documents, canceled checks, insurance invoices.
For more details for the required fiscal documentation, please see the rfiscal documentation sheet at http://www.nationalchildrensalliance.org/2011chaptergrantformsandreports
3. NCA can only reimburse travel expenses (mileage and lodging) at the Federal Per Diem rate. You can access Federal Per Diem rates at http://www.gsa.gov.
4. NCA can only reimburse expenses that were incurred during the grant cycle and are allowable expenses. The costs need to be directly related to the goals and objectives of the grant type and the grantee application.
5. Any other questions related to this form, please contact your Chapter representative.
If you used NCA grant funds to conduct/attend trainings, please give specifics and fill out the table below:
Attendees
Dates of the Location (please list only the MDT members/ CAC employees that are included
Topic/Name of the training Training Travel Dates (City, State) in your grant report)
Please follow the survey link to the right in order to answer the narrative
questions for your grant reporting. If you are unable to open the survey by
clicking the link, copy and paste the link into your browser.
https://childrensmn.qualtrics.com/SE/?SID=SV_emQpdjKP7EDuweM
Important: After you submit your narrative form, you will receive a
confirmation email to the email address that you enter. Please print the email
and submit to your Chapter as part of your grant report.
By submitting this information, I certify the accuracy of the information provided above:
Authorized Agency Representative Signature:
Authorized Agency Representative's Title:
Important: The Authorized Agency Representative must have signed the Cooperative Agreement . In case you have a change of staff please notify your Chapter before submitting the report. You MUST sign the report in the boxes above with an
electronic or handwritten signature.
