Get Expenditure Approval Form

VICTIM/WITNESS ASSISTANCE PROGRAMS Major Expenditure Approval Form County/Program Title DJ-CVS-28 Rev. 8/92 Date/Period of Expenditure Contact Name/Phone For expenditures of 250 or more. Type of Expenditure - Check the appropriate box. If Other explain* Equipment/Permanent Property o New o Replacement Training/Reference o Program o Materials o Other Description/Justification - This section must be completed* Present a detailed explanation and justification of expenditures expected to be incurred* Explain how expenditure will benefit the victim/witness assistance program* Use additional pages or attachments if necessary. Estimated Budget/Expenditure - Itemize costs in as much detail as possible and appropriate. Use additional pages if needed* Total Estimated Expenditure Authorizations REQUESTOR It is understood and agreed that any equipment or permanent property for which the county receives state reimbursement under Chapter 950 Wis. Stats. will be used solely for crime victim and witness services. Disposal or other use of such equipment or property requires approval of the Department of Justice. Signature of Project Coordinator DEPARTMENT OF JUSTICE o Approved o Not Approved Date of Request o Modified Date. Type of Expenditure - Check the appropriate box. If Other explain* Equipment/Permanent Property o New o Replacement Training/Reference o Program o Materials o Other Description/Justification - This section must be completed* Present a detailed explanation and justification of expenditures expected to be incurred* Explain how expenditure will benefit the victim/witness assistance program* Use additional pages or attachments if necessary. Estimated Budget/Expenditure - Itemize costs in as much detail as possible and appropriate. Use additional pages if needed* Total Estimated Expenditure Authorizations REQUESTOR It is understood and agreed that any equipment or permanent property for which the county receives state reimbursement under Chapter 950 Wis. Estimated Budget/Expenditure - Itemize costs in as much detail as possible and appropriate. Use additional pages if needed* Total Estimated Expenditure Authorizations REQUESTOR It is understood and agreed that any equipment or permanent property for which the county receives state reimbursement under Chapter 950 Wis. Stats. will be used solely for crime victim and witness services. Disposal or other use of such equipment or property requires approval of the Department of Justice. Stats. will be used solely for crime victim and witness services. Disposal or other use of such equipment or property requires approval of the Department of Justice. Signature of Project Coordinator DEPARTMENT OF JUSTICE o Approved o Not Approved Date of Request o Modified Date. Type of Expenditure - Check the appropriate box. If Other explain* Equipment/Permanent Property o New o Replacement Training/Reference o Program o Materials o Other Description/Justification - This section must be completed* Present a detailed explanation and justification of expenditures expected to be incurred* Explain how expenditure will benefit the victim/witness assistance program* Use additional pages or attachments if necessary. Estimated Budget/Expenditure - Itemize costs in as much detail as possible and appropriate. Use additional pages if needed* Total Estimated Expenditure Authorizations REQUESTOR It is understood and agreed that any equipment or permanent property for which the county receives state reimbursement under Chapter 950 Wis. Stats. will be used solely for crime victim and witness services. Disposal or other use of such equipment or property requires approval of the Department of Justice.