Allowable Cost and Payment Compliance Checklist
Review and confirm compliance of costs and payments with applicable policies and requirements.
Project or Department Name
*
Date of Review
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Person Completing Review
*
First Name
Last Name
Cost Category
*
Please Select
Personnel
Supplies
Travel
Equipment
Contractual
Other Direct Cost
Total Amount Requested
*
Description and Justification of Cost
*
Upload Supporting Documentation
*
Upload a File
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Choose a file
Cancel
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Does the cost comply with all applicable policies and guidelines?
*
Yes, fully compliant
No, not compliant
Partially compliant (explain below)
Checklist: Review the following compliance items
*
Rows
Yes
No
N/A
Cost is reasonable and necessary
1
2
3
Cost is allocable to the project
4
5
6
Cost is allowable under policy
7
8
9
Proper documentation is attached
10
11
12
Prior approval obtained if required
13
14
15
Cost is within budget limits
16
17
18
Comments or Explanations (if any item above is marked 'No' or 'Partially compliant')
Has the cost been approved by an authorized individual?
*
Yes
No
Not Applicable
Final Attestation: I confirm that the above information is accurate and complete to the best of my knowledge.
*
Submit Checklist
Submit Checklist
Should be Empty: