Sheet 1: Guideline

	
	

		
Community Shelter Board
	
	

		
Invoice Submission Guideline
	
	

		
for CSB Invoice Forms
	
	

		


	
	

		
Use this CSB Invoice Form to request reimbursement for CSB-funded programs.
	
	

		


	
	

		
Invoice Documents:
	
	

		
CSB Invoice Form
	
	

		
Cash Disbursements Journal
	
	

		


	
	

		
Number of Copies to Submit:
	
	

		
One copy of the Invoice Form (signed) and one copy of the Cash Disbursements Journal
	
	

		


	
	

		
Items to Maintain On-Site at Agency:
	
	

		
o        Invoice form
	
	

		
o        Cash disbursements journal
	
	

		
o        Verification of each expense (vendor invoices, timesheets, client files, etc)
	
	

		
o        Copy of cancelled check for payment of expenses and bank statements
	
	

		


	
	

		
Payment Process: CSB will pay Grant Funds to the Provider on a reimbursement basis. The current budget on the Invoice Form should match the approved Gateway budget, unless a budget amendment has been submitted and approved. The Provider shall submit timely and accurate invoices to CSB by the end of each month for the preceding month, at the least. The Provider can invoice CSB more than once each month. Every effort will be made to reimburse the Provider within thirty (30) days of receipt of an invoice that is accurate and contains only reasonable, allowable, and allocable costs.
	



Sheet 2: CSB Invoice

	
	
	

		
Agency:
		


		
Current Period:
		


		
	

		


		


		


		


		


		


	
	

		
1
		
2
		
3
		
4
		
5
		
6
	
	

		


		


		
Actual Disbursements
		


		


	
	

		
Cost Category
		
Current Budget
		
Through Prior Month
		
Current Month
		
Total to Date
		
Balance Left on Contract
	
	

		
Salaries & Wages
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Fringe Benefits
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Consultant & Professional Services
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Staff Mileage
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Staff Training
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Client Food Services (Shelters only)
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Space Costs
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Consumable Supplies
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Client Assistance
		


		


		


		


		


	
	

		
FBCO - transportation only
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Client rent
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Rent arrearages
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Security deposit/last month rent
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Utility payments, deposits, arrearages
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Bus passes, client transportation
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Client documentation
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Other client assistance 
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Miscellaneous Expenses
		


		


		


		


		


	
	

		
Administrative
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
Other miscellaneous expenses
		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
TOTALS
		
 $-   
		
 $-   
		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


	
	

		
Program:
		


		
Certified Correct By: 
		


		
	

		


		


		


		


		


		


	
	

		
Prepared By:
		


		
Date: