|
Below are the performance report
forms for the Victim Services Support (VSS) Program. You
may download these forms and reports by following the
instructions under each type of form. If you have any
questions, you may directly contact any of the VSS
program staff listed below or call them toll free at
1-800-373-5044.
Budget Revision Request Form:
Because
budget line items in funding applications are estimates
of budget expenditures, funds may be reallocated among
budget line items. You may move amounts among the budget
line items without submitting a formal Budget Revision
Request form if the change represents less than 10% of
the total award. If the change is 10% or more, you must
submit a completed Budget Revision Request Form and
receive approval from VSS staff prior to submitting your
voucher request for reimbursement. Please email
completed Budget Revision Request Forms to your primary
VSS contact or the Division Accountant. The budget will
be reviewed within 30 days and you will be notified
regarding approval or denial. The Budget Revision
Request Form does not require a signature. Click on the
Budget Revision Request Form
to download this form.
Complete Program Budget Form:
The
Complete Program Budget for Fiscal Year 2012
(7/1/11-6/30/12) was due on September 15, 2011. Click on
Complete Program Budget
Form to download this form.
Fiscal Claim Vouchers &
Spreadsheets:
Below are
the links to Monthly & Quarterly Claim Vouchers and
Spreadsheets for Fiscal Year 2012 (7/1/11-6/30/12). This
form must be completed and submitted on either a monthly
or quarterly basis. Attach documentation for each
expenditure claimed for reimbursement or as match.
Please note the forms are for all VSS administered
funding. You may delete sections from the spreadsheet
that do not apply to your program. Below are the monthly
and quarterly claim voucher due dates.
Click on the following links to
download the Monthly Claim Voucher &
Spreadsheet or the Quarterly Claim Voucher &
Spreadsheet. Click on Claim Voucher & Spreadsheet
Instructions to download basic instructions
for the claim vouchers & spreadsheets.
Monthly Claim Vouchers For Reimbursement
|
Month
|
Claim Period
|
Due Date |
|
July |
July 1-30, 2011 |
August 30, 2011 |
|
August |
August 1-31, 2011 |
September 30, 2011 |
|
September |
September 1-30, 2011 |
October 31, 2011 |
|
October |
October 1-31, 2011 |
November 30, 2011 |
|
November |
November 1-30, 2011 |
December 31, 2011 |
|
December |
December 1-31, 2011 |
January 31, 2012 |
|
January |
January 1-31, 2012 |
February 29, 2012 |
|
February |
February 1-29, 2012 |
March 31, 2012 |
|
March |
March 1-31, 2012 |
April 30, 2012 |
|
April |
April 1-30, 2012 |
May 31, 2012 |
|
May |
May 1-31, 2012 |
June 30, 2012 |
|
June |
June 1-30, 2012 |
July 31,
2012 |
Quarterly Claim Vouchers For Reimbursement
|
Quarter
|
Claim Period
|
Due Date |
|
Quarter 1 |
July 1 - September 30, 2011 |
October 31, 2011 |
|
Quarter 2 |
October 1 - December 31, 2011 |
January 31, 2012 |
|
Quarter 3 |
January 1-March 31, 2012 |
April 30, 2012 |
|
Quarter 4 |
April 1 - June 30, 2012 |
July 31, 2012 |
The signed claim voucher and
documentation must be submitted to the following
address:
|
Crime Victim Assistance
Division |
|
Lucas
State
Office
Building,
Ground Floor
|
|
321 E. 12th Street
|
|
Des Moines
,
IA
50319
|
If you have any questions regarding the forms please do not hesitate to contact Kristi
Hill, CVAD Accountant, at 515-281-8954 or by e-mail at
khill@ag.state.ia.us. |