5 Disaster Budget and Deployment Form

Disaster Budget and Deployment Form
The Disaster Budget and Deployment Form serves as the budget submission and deployment approval tool for a program to be engaged in an AmeriCorps-approved disaster deployment. The budget should be a realistic projection of the needed funds for the program to fulfill the mission, to include transportation, lodging, subsistence, personnel, supplies, and other miscellaneous costs. At the end of the deployment, the program will be required to submit a reimbursement for actual costs based on the approved budget. Programs also should use this form in their planning and tracking of expenses during the deployment.
1. Program Name and Address		2. Point of Contact (Name, Email, Phone)			3. Number of Members and Staff Available
					Members:		Staff:
4. Date Submitted	5. Mission Assignment Number (Completed by DSU)		6. CAM1 (Completed by DSU)	7. Disaster Event	8. First Date Available	9. Last Date Available	10. MA Start Date (Completed by DSU)	11. MA End Date (Completed by DSU)
Directions: Please complete each section with as much detail as possible, including any formulas and rates. For example: Subsistence: 10 members x 30 days x $15/day = $4,500 Personnel: 2 crews x 4 weeks x $300/crew/week = $2,400
Transportation			Personnel
Describe airfare, train, rental car, program vehicle mileage, etc. and provide formula for cost.	Cost		Type (Lost FFS for AmeriCorps members, Staff OT, etc.). Please include formula(s) for any personnel costs:				Cost
Total Transportation		$-	Total Personnel					$-
Lodging			Supplies
Include rate/#members/days	Cost						Cost
Total Lodging		$-	Total Supplies					$-
Subsistence			Miscellaneous
	Cost						Cost
Total Subsistence:		$-	Total Miscellaneous					$-
			Total Budget					$-
AmeriCorps Approvals: Sign and Date
Disaster Services Unit:		CFO Office:			Office of Grant Administration: