october 2013. cjcc grants administration agency name: month & year: subgrant no.: datevolunteer...
TRANSCRIPT
Breakout SessionFinancial Reporting (SERs)
October 2013
CRIMINAL JUSTICE COORDINATING COUNCIL MONTHLY VOLUNTEER TIME RECORDSUBGRANT # :MONTH & YEAR :
PLEASE ENTER THE NUMBER OF HOURS WORKED PER SERVICE RENDERED
LAST, FIRST NAME Cri
sis
Co
un
se
lin
g
Fo
llo
w-u
p C
on
tac
t
Th
era
py
Gro
up
Tre
atm
en
t
Cri
sis
Ho
tlin
e
Vo
lun
tee
r T
rain
ing
Info
rma
tio
n R
efe
rra
l
C.J
. S
up
po
rt &
Ad
vo
ca
cy
Em
er.
Fin
an
cia
l S
up
po
rt
Em
er.
Le
ga
l S
up
po
rt
Em
er.
Le
ga
l A
dv
oc
ac
y
As
sis
t F
ilin
g C
om
pe
ns
ati
on
Pe
rso
na
l A
dv
oc
ac
y
Te
lep
ho
ne
Co
nta
cts
Oth
er
Total Hours
Worked*X
$12
Total
1 0 0
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
7 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
Grand Totals: 0 0* CJCC currently values volunteer time at a rate of $12 per hour.
I certify that the above is a true and correct statement. I also understand that CJCC requires the agency to complete and maintain
individual timesheets on a monthly basis to substantiate this document in the event of an audit.
Approved Title Date
CJCC Grants Administration
Agency Name:
Month & Year:
Subgrant No.:
Date Volunteer Name & Description of Duties in "Other" Category Hours
Documentation RequirementsTimesheets are required for all grant funded
personnel
Timesheets must capture:Activities/duties performed during time
workedAll time worked
Maintain all records at your agency includingEmployee Timesheets InvoicesReceiptsTravel Logs
Keep grant-related records for at least 3 years after grant closes
Subgrant Expenditure Report [SER]Transfer Excel expenditure category totals to the
SER/Request for Funds form
All grant related expenses incurred for the month/quarter must be listed on this form to obtain reimbursement
Expenses must be incurred during the grant period
Travel Expense Statement Form
EMPLOYEE TRAVEL EXPENSE STATEMENT (Please Print or Type)
TOTALS
Mo. Day Location Amount Location Amount Location Amount Location Amount
0
0
0
0
0
0
0
Signature Date
Approved Date
Day Amount Day
CRIMINAL JUSTICE COORDINATING COUNCIL
Explain any expenses that are unusual or exceed established limits:
AmountCommon Carrier, Taxi/Limousine Miscellaneous
" I do solemnly swear, under criminal penalty of a felony for false statements subject to punishment by fine of not more than $1,000 or by imprisonment for not less than five years, that the above statements are true and I have incurred these described expenses and the agency use mileage in the discharge of my duties for this agency."
TOTAL EXPENDITURES 0
Total Subsistence (Attach lodging receipts) …….…...……………………………
Common Carrier Expenses (Details below) ..……………………….
Miscellaneous Expenses (Details below) ……………………………..
Agency Use Mileage _________ miles at ______ per mile
(Must be supported by automobile mileage record on back)
Date Departure Time Arrival Time
BREAKFAST LUNCH DINNER LODGING
For period from: through:
SSN: Business Phone: Address:
Name: Title: Agency Name:
Travel Expense Form- Page 2Month Day
TOTAL AMOUNTS AUTOMOBILE TAG NUMBER:
AUTOMOBILE MILEAGE RECORDPersonal Mileage
Agency Use Mileage
DateStarting Mileage Ending Mileage Total Mileage
Origin - Points Visited - Destination Purpose of Trip
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
SER Excel Report
If it’s not listed in your approved
budget, you cannot claim it!
Why is My Reimbursement Check Less Than I Requested?
Mathematical Errors
Not Signed by Authorized Official or Designee
Expenses outside of grant period
Expenditures submitted not on approved grant budget