NEVADA COUNTY TRAINING/EXERCISE REIMBURSEMENT CHECKLIST

OPERATIONAL AREA GRANT
TRAINING/EXERCISE REIMBURSEMENT CHECKLIST
Please collect documentation listed on the checklist below and remit package to: Nevada County Office of Emergency Services (hsgp@nevadacountyca.gov)
Agency Name*
Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast Name
Agency Contact Email*
example@example.com
Grant*
Grant Year*
Project Title/Number*
Project Cost*
Upload Documents (See list below)*

Cancelof
Required Documentation:*

Invoice from Second-Tier Sub-Recipient to Nevada CountyInvoice from Vendor to Second-Tier Sub-RecipientTravel Expense Supporting DocumentationCertificates of RostersProof of Payment to vendor by Second-Tier Sub-RecipientOvertime and/or Backfill DocumentationOther Supporting Documentation
Page Numbers of Invoice from Second-Tier Sub-Recipient to Nevada County*
Page Numbers of Invoice from Vendor to Second-Tier Sub-Recipient*
Page Numbers of Travel Expense Supporting Documentation*
Page Numbers of Certificates of Rosters*
Page Numbers of Proof of Payment to vendor by Second-Tier Sub-Recipient*
Page Numbers of Overtime and/or Backfill Documentation*
Page Numbers of Other Supporting Documentation*
Address Invoices to:

Nevada County Office of Emergency Services

950 Maidu Avenue,Suite 129

Nevada City, CA 95959

hsgp@nevadacountyca.gov
Nevada OES Use:
OK to Pay Amount*
Coding/PO Number*
Should be Empty:

OPERATIONAL AREA GRANT