Fs 10 F Long Form – Fill Out and Use This PDF

The University of the State of New York	FINAL EXPENDITURE REPORT FOR A
THE STATE EDUCATION DEPARTMENT	FEDERAL OR STATE PROJECT
Grants Finance, Room 510W EB	FS-10-F Long Form (06/08)
Albany, New York 12234

E-Mail Address:

INSTRUCTIONS

Agencies must maintain complete and accurate records and may be requested to provide additional detail to support reported expenditures.

Submit one report with original signature and one copy directly to Grants Finance, New York State Education Department, Room 510W EB, Albany, NY 12234.

For Special Legislative Projects, submit one report with original signature and two copies, along with a final program narrative report.

All encumbrances must have taken place within the approved funding dates of the project.

Use whole dollar amounts.

Certification on page 8 must be signed by Chief Administrative Officer or designee.

High-quality computer generated reproductions of this form may be used.

For further information about completing the final expenditure report, please refer to the Fiscal Guidelines for Federal and State Aided Grants at www.oms.nysed.gov/cafe/ or contact Grants Finance at grantsweb@mail.nysed.gov or (518) 474-4815.

FS-10-F Page 2

SALARIES FOR PROFESSIONAL STAFF: Code 15

Include all salaries for professional staff approved for reimbursement in budget.

Subtotal - Code 15

SALARIES FOR SUPPORT STAFF: Code 16

Include all salaries for support staff approved for reimbursement in budget.

Subtotal - Code 16

FS-10-F Page 3

PURCHASED SERVICES: Code 40

Subtotal - Code 40

SUPPLIES AND MATERIALS: Code 45

Subtotal - Code 45

TRAVEL EXPENSES: Code 46

Subtotal - Code 46

FS-10-F Page 4

EMPLOYEE BENEFITS: Code 80

List only the total project salary amount for each benefit category. Benefits may only be claimed for salaries reported in Code 15 or Code 16. Rates used for project personnel must be the same as those used for other agency personnel.

Teacher Retirement

Employee Retirement

Other Retirement

Social Security

Worker's Compensation

Unemployment Insurance

Health Insurance

Other (Identify)

Subtotal – Code 80

FS-10-F Page 5

INDIRECT COST: Code 90

PURCHASED SERVICES WITH BOCES: Code 49

Subtotal – Code 49

MINOR REMODELING: Code 30

Include expenditures for salaries, associated employee benefits, purchased services and supplies and materials related to alterations to existing sites.

Subtotal – Code 30

FS-10-F Page 6

EQUIPMENT: Code 20

Items of equipment purchased must agree in type and number with the equipment approved in the project budget.

Subtotal - Code 20

FS-10-F Page 7

REMINDERS

Be sure to submit one report with original signature and one copy directly to Grants Finance, New York State Education Department, Room 510W EB, Albany, NY 12234.

Agencies should use the FS-10-F Short Form unless the report is being submitted beyond the report due date or if they were directed otherwise in the grant application/RFP or by Department staff.

For State projects, final expenditure reports are due within 30 days after the project end date. Reports for federal projects are due within 90 days after the project end date. For certain programs, the Department program manager may impose an earlier due date. See the Grant Award Notice to verify the due date.

After review by Grants Finance, a copy of the FS-10-F will be sent to the contact person at the address on Page 1. A window envelope will be used for the return mailing; please be sure that the contact information is accurate, legible and confined to the address field.

All encumbrances must be made within the approved project funding dates, which are indicated on the approved FS-10 as well as on the Grant Award Notice. See the Fiscal Guidelines for Federal and State Aided Grants at http://www.oms.nysed.gov/cafe/ for a detailed explanation of the review process.

Be sure to check your math and carry all subtotals forward to the Summary on Page 8. Simple mathematical errors often require Grants Finance to contact the local agency, resulting in unnecessary delays in closeout and final payment. Use whole dollars only.

The modified direct cost used in the calculation of indirect cost cannot include equipment, minor remodeling, the portion of each subcontract exceeding $25,000 and any flow-through funds.

Be sure to complete the agency code and project # on Page 8. For Special Legislative Projects and grant contracts, also enter the contract #.

Please make sure that Page 8 faces out.

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