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PALM BEACH STATE COLLEGE NOTIFICATION OF ADDITIONAL FUNDING ON EXISTING GRANT

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PALM BEACH STATE COLLEGE NOTIFICATION OF ADDITIONAL FUNDING ON EXISTING GRANT
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PALM BEACH STATE COLLEGE
NOTIFICATION OF ADDITIONAL FUNDING ON EXISTING GRANT
Request will not be processed without a copy of Award Letter/Approved Contract.
Use this form for restricted Fund 2 only.
Please submit Budget Input Form with this document.
Date of Request:
Requestor:
Signature:
Department:
Org Number:
Grant Title:
1. What is the Approved Budget?
2. What is the Funding Agency/Source?
3a. Funding Type:
Federal Direct
Federal Flow Through
State
Private
3b. Is this a sub grant?
Yes
No
CFDA#:
is
(Formal Agreement must be in effect)
4a. Project Beginning Date:
Project End Date:
4b. Budget Period:
5. Last day to make encumbrances/submit POs:
(60 days prior to last payment date)
6. Last day to pay encumbrances with grant funds:
(no funds can be disbursed from grant after this date)
7. Check if Rollover of Funds Allowed:
Yes
8. Reporting Periods:
Quarterly
Monthly
No
Annual
9a. Reporting Format:
Other
(e.g. FA399, etc.)
9b. Final Report Due:
ROUTING INSTRUCTIONS
Send form to Grants Accountant (MS# 11.5) for processing.
FOR FINANCE USE ONLY
Grant Account
Account:
User Group
Qual1:
Campus/District:
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