Get Form 5199

Filling out Form 5199 is an essential step for financially distressed cities, villages, and townships in Michigan seeking reimbursement. This guide aims to provide clear, step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to complete your reimbursement request

1. Press the ‘Get Form’ button to access the document and open it in your online editor.
2. Begin by filling out Part 1: Proposal Information. Enter your grant number, proposal title, request number, period start and end dates, request type (indicate whether this is a partial or final request), your Federal Employer Identification Number (FEIN), the grantee's name, telephone number, and the payment mailing address.
3. Move to Part 2: Expenditure Detail. For each budget category listed (items 11-21), enter the costs incurred during the period, ensuring that calculations are rounded to the nearest dollar. In columns B and C, input the total amount incurred and the approved percentage of funding, respectively. Column D will automatically calculate the allowable amounts, which you will request for reimbursement, and column E will reflect the cumulative amounts incurred to date.
4. In Part 3: Certification, certify the accuracy of the information entered by providing the printed name, title, signature, and date of the Grantee Chief Financial Officer. This is essential for the validity of your reimbursement request.
5. Finally, ensure you have attached all necessary documentation to support your incurred costs, such as invoices and canceled checks. Review the form for completeness and accuracy before submitting.
6. Once everything is complete, save your changes. You can download a copy of the form, print it for your records, or share the document as needed.

Complete your Form 5199 online today for a smooth reimbursement process.