6 Budget and Deployment Amendment

Disaster Deployment Budget Amendment Form
The Disaster Deployment Amendment supports any budget adjustments for a program engaged in an AmeriCorps-approved disaster deployment. Budget adjustments may be necessary if deployment dates are extended, unforeseen expenses arise, or in other cases that affect the program’s ability to support the deployment. Changes to the originally-approved deployment budget must fall within the parameters of the original assignment. If a program needs to amend their budget, they should contact the Disaster Services Unit prior to completing and submitting this form.
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. Original Deployment Dates	9. Revised Deployment Dates	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
Original Budget Cost				Original Budget Cost
Additonal Funds Requested		$-		Additonal Funds Requested				$-
Total Transportation			$-	Total Personnel					$-
Lodging				Supplies
Include rate/#members/days		Cost						Cost
Original Budget Cost				Original Budget Cost
Additonal Funds Requested		$-		Additonal Funds Requested				$-
Total Lodging			$-	Total Supplies					$-
Subsistence				Miscellaneous
		Cost						Cost
Original Budget Cost				Original Budget Cost
Additonal Funds Requested		$-		Additonal Funds Requested				$-
Total Food			$-	Total Miscellaneous					$-
Original Budget		$-	Total Additional Funds Requested		$-	Total Revised Budget			$-
AmeriCorps Approvals: Sign and Date
Disaster Services Unit:		CFO Office:				Office of Grant Administration: