Office of Planning, Environment, & Realty (HEP)
Planning • Environment • Real Estate
The purpose of this Draft Project Documentation Form is to help document project costs for labor, mileage, and basic expenditures associated with relatively small projects, usually located off of highway rights-of-way.
This page is a web mock-up of a draft functional PDF form (229 KB) that can be saved and used as a template for documenting expenditures.
PDF files can be viewed with the Acrobat® Reader®
| Project Reference Number ______________________ |
Project Name __________________________________________________________________ |
| Documentation period: | From date: __________ To date: _____________ |
| This form documents: | ____ Reimbursable expenses ____ Match requirements (the value of donated labor, equipment, etc.) |
| This form is used to document project expenditures (equipment, supplies, materials), labor, or mileage (when using a personal vehicle). Each section has a table where you can add or remove rows as needed. Additional pages will be created automatically and description fields will auto-expand. For expense eligibility information see OMB circulars at http://www.whitehouse.gov/omb/grants_attach/#which. | |
| Date | Description of work performed | No. of Workers | $ Wage/hour | Hours | Sub-total |
|---|---|---|---|---|---|
| Labor Total = | |||||
| Date | Description of expenditure | Cost per unit | No. of Units | Sub-total |
|---|---|---|---|---|
| Expenditures Total = | ||||
| Date | Start address | Destination address | Purpose | Miles |
|---|---|---|---|---|
| Total Miles _______ | Mileage Rate _______ | Mileage Total = | ||
| Grand Total = | |||||
Check current mileage rate at: http://www.gsa.gov/portal/content/100715
Date Completed _________________
Completed by _________________
Signed: _________________
Note: Check with the administering agency for further guidance on eligible expenses and project documentation standards.
