Form

Perkins Fund Request

Use this form to submit requests for payment for Perkins projects
Name of Submitter*
E-mail
Program of Study Cluster*
Division*

CTE A&S
Project Title*
Project #*
Equipment*
Indicate each purchase on a separate line with the $ amount for that item. 0 if no costs.
Total amount of equipment purchase*
0 if no costs
Submit invoices/district payment for equipment

Upload a File
Does the project include faculty/staff payroll?*

yes no
Total payroll or sub costs
Staff/Faculty Payroll Authorization Form and or timesheets
Upload a File
UCC staff must have PAF and/or time sheets. HS subs must have district sub documentation.
Does the project include travel?*

Yes no
Total travel costs
Pre-Approved Travel Expense Voucher
Upload a File
http://www.umpqua.edu/academic-programs/perkins/799-perkins-forms-and-publications
Should be Empty:

Perkins Fund Request