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Portland Bureau of Emergency Management

Readiness. Response. Recovery.

Phone: 503-823-4375

Fax: 503-823-3903

TDD: 503-823-3947

Finance & Grants Forms

Overtime & Backfill rate sheet

This form should Only be used for overtime & backfill reimbursements.

Budget Amendment & Reallocation Form

To be used when changes or additions are made to the line item budget.

Internal Labor Charge Form

This form is to be used for reimbursement of expenses for sub-recipient's internal labor for regular installation. Salary and benefits ONLY.

Sub-recipient Invoice Voucher

This form is to be completed and submitted along with reimbursement claims for equipment or goods & services purchased.

Training Report Form

Must be submitted to PBEM within 30 days after training has been completed.

Oregon Emer. Management Sole Source Procurement Form

Must be completed and submiited to Oregon Emergency Management for Sole-Source Procurements of or greater than $100,000.

Invoice Checklist

To be completed and submitted along with ALL relevant backup documents to PBEM for the payment of Goods & Services or Professional Technical & Expertise (PTE) contracts.

Environmental & Historic Preservation (EHP) Screening Form

The EHP form is required at the project proposal stage. It must be completed and submitted to PBEM along with the project proposal and budget.

Dashboard Form

This form is due on a quarterly basis. It assists with meeting our reporting requirements, helps track project process, helps identify projects with implementation issues & identify funds for reprogramming.

Grant Purchase Requisition Checklist and Form

This form must be completed and submitted by the Project Manager whenever equipment or goods and services are purchased against a grant.

Extension Request Form PBEM

Must be completed and submitted to PBEM 90 days prior to needing an extension on the end date of your project.

Equipment Transfer and Disposition Form

Must be completed and sent to PBEM whenever, an asset purchased with grant funds is to be sold, transferred or disposed of.

Budget Template

To be completed and submiited along with project proposals.