MAA GRANT EXPENSE REPORTING FORM
PAYABLE
TO:
_____________________________
DATE: _____________________________
_____________________________
GRANT NAME: ___________________________
_____________________________
GRANT NUMBER: _________________________
SIGNATURE __________________________________ SSN# ___________________________
AUTHORIZATION SIGNATURE _________________________________
*NOTE: A TIME AND ATTENDANCE FORM IS REQUIRED WHEN RECEIVING PAYMENT FOR
PERSONNEL/CONSULTANT EXPENSES.
ALL RECEIPTS MUST BE ATTACHED FOR ALL EXPENSES.
TOTAL EXPENSES $ ___________________
*PERSONNEL EXPENSES
Professional Salaries:
Dates of Service: _______________________
Total hours/ days worked: _________________
$
Account
5110
Task #
____________
Support Salaries:
Dates of Service: ________________________
Total hours/ days worked: _________________
$
5130
___________
Fringe Benefits:
Types of Benefits: ________________________
$
5320
___________
HONORARIA & STIPENDS
Stipends – Date:___________________________
$
6030
___________
TRAVEL EXPENSES
Dates of Travel: ___________________________
Purpose of Travel: ________________________
Transportation: ____________________________
Hotel: ___________________________________
Subsistence: ______________________________
$
$
$
7010
___________
PARTICIPANTS’ SUPPORT COSTS
Stipends – Dates of Participation:
_____________________
$
6000
___________
Travel for Participants:
Dates of Travel:__________________________
Purpose of Travel: _______________________
Transportation: __________________________
Hotel: _________________________________
Subsistence: ___________________________
Other: _________________________________
$
$
$
$
7760
7760
7770
7780
___________
___________
_________