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DRAFT Project Documentation Form

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.

Labor

Date Description of work performed No. of Workers $ Wage/hour Hours Sub-total
           
Labor Total =  

Expenditures

Date Description of expenditure Cost per unit No. of Units Sub-total
         
Expenditures Total =  

Mileage

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.

Updated: 02/12/2014
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