Form Fis-600-1 - Expenditure Report - Wisconsin Department Of Workforce Development

ADVERTISEMENT

EXPENDITURE REPORT
State of Wisconsin
Department of Workforce Development
Child Support Administration
INSTRUCTIONS:
Agency Number
Agency Name
STATE USE ONLY
1. Report expenditures in
Date Entered in CARS
whole dollar amounts
Agency Type
County
176
Operator Initials
2. See Contract for current
Agency Number.
Report Period (mm/yy)
Agency Contact
Phone Number
/
2001
PROFILE
CURRENT NET
CONTRACT-TO-DATE
PROFILE NAME
COMMENTS
NUMBER
EXPENDITURES
NET EXPENDITURES
70480
CS Fees
(-)
(
)
(
)
(
)
(
)
Lab Fees (Blood Test)
(-)
70485
Interest Earned on IV-D Collections (-)
(
)
70490
(
)
CS Unclaimed Funds
(-)
(
)
70493
(
)
70467
Indirect Cost
70470
Lab Expenditures
70475
All Other Expenditures
70505
CS Non IV-D Activities
TOTAL NET ACTIVITIES
I certify that the expenditures and revenue identified here claiming federal and state reimbursement are just, true and correct in the amounts stated,
have not been reimbursed previously, and represent actual and necessary costs of administering provisions of the contract.
Send Original to:
SIGNATURE - Authorized Agency Representative
Date Signed
Department of Workforce Development/CARS Unit
P.O. Box 7946
Madison, WI 53707-7946
Retain One Copy for Agency Records
FIS-600-1 (R. 01/2001)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Uct-7842 - Contribution Adjustment Report - Wisconsin Department Of Workforce Development Form Uct-7842 - Contribution Adjustment Report - Wisconsin Department Of Workforce Development Financial
Form Uct-10 - Quarterly Contribution Report - Wisconsin Department Of Workforce Development Form Uct-10 - Quarterly Contribution Report - Wisconsin Department Of Workforce Development Financial
Form Uc-101a - Quarterly Contribution/wage Report - Wisconsin Department Of Workforce Development Form Uc-101a - Quarterly Contribution/wage Report - Wisconsin Department Of Workforce Development Financial
Agricultural Employer's Report - Wisconsin Department Of Workforce Development - 2005 Agricultural Employer's Report - Wisconsin Department Of Workforce Development - 2005 Legal
Form 1094 - Request For Indexing Correction - Indiana Department Of Workforce Development Form 1094 - Request For Indexing Correction - Indiana Department Of Workforce Development Legal
Form Bls 3020 - Multiple Worksite Report - Indiana Dept Of Workforce Development Form Bls 3020 - Multiple Worksite Report - Indiana Dept Of Workforce Development Legal
Form Bls 3020 - Multiple Worksite Report - Indiana Dept Of Workforce Development Form Bls 3020 - Multiple Worksite Report - Indiana Dept Of Workforce Development Legal
Form Uct-43 - Preliminary Report For 2005 - Wisconsin Department Of Workforce Development Form Uct-43 - Preliminary Report For 2005 - Wisconsin Department Of Workforce Development Legal
Form Uct-101 - Quarterly Contribution Report (filed With Quarterly Wage Rpt) - Wisconsin Department Of Workforce Development Form Uct-101 - Quarterly Contribution Report (filed With Quarterly Wage Rpt) - Wisconsin Department Of Workforce Development Legal
Form Uct-115-e - Report Of Business Transfer (sale, Acquisition, Or Reorganization) - Wisconsin Department Of Workforce Development - 2016 Form Uct-115-e - Report Of Business Transfer (sale, Acquisition, Or Reorganization) - Wisconsin Department Of Workforce Development - 2016 Legal

Related Categories

Parent category: Financial
Download
Go