Form C1 (ECY060-8) "Voucher Support for Projects With Interlocal Costs or Other in-Kind" - Washington

What Is Form C1 (ECY060-8)?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2004;
  • The latest edition provided by the Washington State Department of Ecology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form C1 (ECY060-8) by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download Form C1 (ECY060-8) "Voucher Support for Projects With Interlocal Costs or Other in-Kind" - Washington

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FORM C1
: VOUCHER SUPPORT for PROJECTS with INTERLOCAL COSTS or OTHER IN-KIND
Use one form for each group of costs with the same eligibility requirements.
Agreement No.:
Recipient:
Payment Request No.:
Page:
of
AMOUNT
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Date Cost
Warrant
In-Kind
Element
Payee or
Invoice
Incurred or
Number
Cash
No.
Contributor
Item
Number
Contributed
(if any)
(A)
(B)
Interlocal
Other
Costs
(9)
(10A)
(10B)
TOTALS BY ELEMENT
ECY 060-8 (4/04) 2
FORM C1
: VOUCHER SUPPORT for PROJECTS with INTERLOCAL COSTS or OTHER IN-KIND
Use one form for each group of costs with the same eligibility requirements.
Agreement No.:
Recipient:
Payment Request No.:
Page:
of
AMOUNT
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Date Cost
Warrant
In-Kind
Element
Payee or
Invoice
Incurred or
Number
Cash
No.
Contributor
Item
Number
Contributed
(if any)
(A)
(B)
Interlocal
Other
Costs
(9)
(10A)
(10B)
TOTALS BY ELEMENT
ECY 060-8 (4/04) 2
INSTRUCTIONS FOR COMPLETING FORM C1
1.
Enter the agreement number, recipient name, payment request number, and page numbers at the
top of the form.
2.
(Column 1) Enter the task, subtask or object number (established in the agreement) to which the
cost is to be charged.
3.
(Column 2) List the name of the contributor (for interlocal costs and other in-kind contributions)
or the payee (for cash expenditures).
4.
(Column 3) List the item purchased or donated.
5.
(Column 4) Enter the vendor's invoice number (for cash expenditures only).
6.
(Column 5) Enter the date that the cost was incurred (for cash expenditures) or that the item was
donated (for interlocal costs and other in-kind contributions). NOTE: All costs must be incurred
between the effective and expiration dates of the agreement.
7.
(Column 6) Enter the number of the warrant used to pay the vendor, if payment has already been
made (for cash expenditures only).
8.
(Column 7) Enter the amount of the cash expenditure.
9.
(Columns 8A and 8B) Enter the value of the interlocal costs and other in-kind contributions (see
"Valuation of Donated Services and Property," Part III, Administrative Guidelines for Ecology
Grants and Loans).
If the terms of the agreement specify that interlocal costs are valid cash match, then interlocal
costs must be tracked separately from other in-kind and recorded in column 8A. All other in-kind
should be recorded in column 8B.
If interlocal costs may NOT be used to meet a cash match requirement, they shuld be recorded
with other in-kind in column 8B.
10.
(Boxes 9, 10A and 10B) If only one element is documented on this form, add columns 7, 8A, and
8B and enter the totals in boxes 9, 10A, and 10B. If more than one element is documented on this
form, sub-total columns 7, 8A, and 8B for each element and circle the element total.
11.
For each element, enter the total cash expenditure (from box 9) in column 2 of Form B1. Enter the
total interlocal costs (from box 10A) in column 3A of Form B1. Enter the total other inkind
expenses (from box 10B) in column 3B of Form B1.
FORM C1 - Additional Instructions
Voucher Support for Projects with Interlocal Costs or Other In-Kind
HEADING
In the heading, enter the following:
*
Grant (Agreement) number
*
Recipient name
*
Payment request number
*
Page number (1 of 1, 1 of 2, etc.)
COLUMN (1)
*
List the task number from the grant under which a
ELEMENT NO.
particular expense is being billed
*
If a sub-task number exists, it can be used here
*
Group all expenses together by task number, ie.:
First list all task 1 expenses, then list the task 2 expenses, etc.
COLUMN (2)
*
Name of person/company who received the money
PAYEE OR CONTRIBUTOR
or provided the service
COLUMN (3) ITEM
*
Name/type of service provided or item purchased
COLUMN (4) INVOICE #
*
The invoice number on the bill (if any) received from the person/company
shown in Column 2
COLUMN (5)
*
When the expense happened
DATE COST INCURRED
*
This date must be on or after the start date of the grant but
OR CONTRIBUTED
before the expiration date
COLUMN (6)
*
Warrant or check number used to pay the expense
WARRANT #
*
If cash was used, write the word 'cash' in this space
IF ANY
*
If an expense was incurred during the billing period but no warrant/check has
been written to pay the expense, leave blank
COLUMN (7) AMT OF
*
Dollar amount ( to the penny!) of the expenditure that was
CASH EXPENDITURE
paid by warrant, check, or in cash
COLUMN (8)
*
Enter the value of any interlocal costs that can be used as
IN-KIND
cash match in Column 8A
A – INTERLOCAL COSTS
*
Interlocal costs are those provided by another governmental entity
according to an agreement with the recipient. The other local government
receives no reimbursement from the recipient. The amount of interlocal in-kind
can never exceed the amount of the cash match required in the grant budget
*
The Solid Waste & Financial Assistance Program allows interlocal
costs to be used as cash match only in the Coordinated Prevention Grant program
B - OTHER
*
No other In-Kind is allowed for any of our grant programs
BOX (9) TOTALS
*
If only one task is listed on the C1 Form, put the total of Column (7) here
BY ELEMENT
*
If more than one task is listed on the C1 Form, total each task separately before
listing the next task and leave this space blank
BOX (10A)
*
If only one task is listed on the C1 Form, put the total of Column (8A) here
TOTALS BY
*
If more than one task is listed on the C1 Form, total each task separately before
ELEMENT
listing the next task and leave this space blank
BOX (10B)
*
This box should be left blank as none of the Solid Waste & Financial Assistance
TOTALS BY
grant programs allow In-Kind other than Interlocal Costs
ELEMENT
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