SF270-V1.0-Instructions.pdf
Standard Form PDF 176 KB Posted
- Opportunity number
- DOS-PAS-SLO-2025-001
- Issued by
-
Department of State US Embassy Ljubljana
About this file
This document is the SF-270 (Request for Advance or Reimbursement) form instructions, detailing a comprehensive federal grant payment request form with multiple optional and required fields across five pages. The form allows recipients of federal grants to request financial reimbursement or advances, with sections covering payment type, recipient organization details, program/function expenditure computations, and certification by an authorized official. Key sections include tracking program outlays, cumulative program income, net program expenses, federal and non-federal shares, and previous/requested federal payments. The form requires detailed financial documentation and must be completed by an authorized certifying official who provides their contact information and signs the document, with most fields being optional but providing spaces for granular financial reporting across multiple program activities or columns.
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OMB Number: 4040-0012 1 OMB Expiration Date: 01/31/2025
Federal Agency Form Instructions Form Identifiers Information
Agency Owner Grants.gov
Form Name SF-270 Request for Advance or Reimbursement Form Version Number 1.0
OMB Number 4040-0012
OMB Expiration Date 01/31/2025
Form Field Instructions Field Name Required or Optional
Information
1. Type of Payment Requested Required Section label.
1a. “X” one or both boxes
- Advance
- Reimbursement
Optional Check to select.
1b. “X” the applicable box
- Final
- Partial
Optional Check to select.
2. Basis of Request Optional Select one.
3. Federal Agency and Organizational Element
Optional Enter the name of the Federal sponsoring agency and the agency organization element to which the report is submitted.
4. Federal Grant or Other Identifying Number
Optional Enter the Federal grant number, or other identifying number assigned by the Federal sponsoring agency.
5. Partial Payment Request Number Optional Enter the Partial Payment Request Number.
6. Employer Identification Number Optional Enter the employer identification number assigned by the U.S. Internal Revenue Service, or the FICE (institution) code if requested by the Federal agency.
7. Financial Assistance Identification Number
Optional Enter the Financial Assistance Identification Number.
8. Period Covered By This Request From:
Optional Enter the beginning date of the period covered in this request as mm/dd/yyyy.
8. Period Covered By This Request To:
Optional Enter the ending date of the period covered in this request as mm/dd/yyyy.
OMB Number: 4040-0012 2
Field Name Required or Optional
Information
9. Recipient Organization Optional Section label.
9. Recipient Organization Name Optional Enter the Recipient Organization Name.
9. Recipient Organization Street 1 Optional Enter the first line of the Street Address.
9. Recipient Organization Street 2 Optional Enter the second line of the Street Address.
9. Recipient Organization City Optional Enter the City.
9. Recipient Organization County Optional Enter the County.
9. Recipient Organization State Optional Select the state, US possession or military code from the provided list.
9. Recipient Organization Province Optional Enter the Province.
9. Recipient Organization Country Optional Select the Country from the provided list.
9. Recipient Organization Zip / Postal Code
Optional Enter the Postal Code (e.g., ZIP code). If the Country is USA, a 9 digit ZIP code is required.
10. Payee (Where check is to be sent if different than item 9)
Optional Section label.
10. Payee Organization Name Optional Enter the Payee Organization Name.
10. Payee Street 1 Optional Enter the first line of the Street Address.
10. Payee Street 2 Optional Enter the second line of the Street Address.
10. Payee City Optional Enter the City.
10. Payee County Optional Enter the County.
10. Payee State Optional Select the state, US possession or military code from the provided list.
10. Payee Province Optional Enter the Province.
10. Payee Country Optional Select the Country from the provided list.
10. Payee Zip / Postal Code Optional Enter the Postal Code (e.g., ZIP code). If the Country is USA, a 9 digit ZIP code is required.
11. Computation of Amount of Reimbursements/Advances Requested
Optional Section label.
11. Program/Functions/Activities - Column a
Optional Enter the name of the activity or function.
OMB Number: 4040-0012 3
Optional
Information
11. Program/Functions/Activities - Column b
Optional Enter the name of the activity or function.
11. Program/Functions/Activities - Column c
Optional Enter the name of the activity or function.
11a. Total program outlays to date (As of Date)
Optional Enter the date as mm/dd/yyyy.
11a. Total Program Outlays to Date - Column a
Optional Enter amount.
11a. Total Program Outlays to Date - Column b
Optional Enter amount.
11a. Total Program Outlays to Date - Column c
Optional Enter amount.
11a. Total Program Outlays to Date - Total
Optional This is a calculated field.
11b. Cumulative Program Income - Column a
Optional Enter amount.
11b. Cumulative Program Income - Column b
Optional Enter amount.
11b. Cumulative Program Income - Column c
Optional Enter amount.
11b. Cumulative Program Income - Total
Optional This is a calculated field.
11c. Net Program Outlays - Column a Optional This is a calculated field.
11c. Net Program Outlays - Column b Optional This is a calculated field.
11c. Net Program Outlays - Column c Optional This is a calculated field.
11c. Net Program Outlays - Total Optional This is a calculated field.
11d. Estimated Net Cash Outlays - Column a
Optional Enter amount.
11d. Estimated Net Cash Outlays - Column b
Optional Enter amount.
11d. Estimated Net Cash Outlays - Column c
Optional Enter amount.
11d. Estimated Net Cash Outlays - Total
Optional This is a calculated field.
11e. Total - Column a Optional This is a calculated field.
11e. Total - Column b Optional This is a calculated field.
11e. Total - Column c Optional This is a calculated field.
11e. Total - Total Optional This is a calculated field.
OMB Number: 4040-0012 4
Optional
Information
11f. Non-Federal Share - Column a Optional Enter amount.
11f. Non-Federal Share - Column b Optional Enter amount.
11f. Non-Federal Share - Column c Optional Enter amount.
11f. Non-Federal Share - Total Optional This is a calculated field.
11g. Federal Share - Column a Optional Enter amount.
11g. Federal Share - Column b Optional Enter amount.
11g. Federal Share - Column c Optional Enter amount.
11g. Federal Share - Total Optional This is a calculated field.
11h. Federal Payments Previously Requested - Column a
Optional Enter amount.
11h. Federal Payments Previously Requested - Column b
Optional Enter amount.
11h. Federal Payments Previously Requested - Column c
Optional Enter amount.
11h. Federal Payments Previously Requested - Total
Optional This is a calculated field.
11i. Federal Share Now Requested - Column a
Optional This is a calculated field.
11i. Federal Share Now Requested - Column b
Optional This is a calculated field.
11i. Federal Share Now Requested - Column c
Optional This is a calculated field.
11i. Federal Share Now Requested - Total
Optional This is a calculated field.
11j. 1st Month - Column a Optional Enter amount.
11j. 1st Month - Column b Optional Enter amount.
11j. 1st Month - Column c Optional Enter amount.
11j. 1st Month - Total Optional This is a calculated field.
11j. 2nd Month - Column a Optional Enter amount.
11j. 2nd Month - Column b Optional Enter amount.
11j. 2nd Month - Column c Optional Enter amount.
11j. 2nd Month - Total Optional This is a calculated field.
11j. 3rd Month - Column a Optional Enter amount.
11j. 3rd Month - Column b Optional Enter amount.
11j. 3rd Month - Column c Optional Enter amount.
11j. 3rd Month - Total Optional This is a calculated field.
12. Alternate Computation For Advances Only
Option Section label.
OMB Number: 4040-0012 5
Optional
Information
12a. Estimated Federal Cash Outlays Optional Enter amount.
12b. Estimated Balance of Federal Cash on Hand
Optional Enter amount.
12c. Amount Requested Optional This is a calculated field.
13. Certification Required Section label.
13. Signature Required The authorized certifying official must sign here. This field is required.
13. Date Request Submitted Required Enter the date the request is submitted to the Federal agency as mm/dd/yyyy.
This field is required.
13. Prefix Optional Select the Prefix from the provided list or enter a new Prefix not provided on the list.
13. First Name Required Enter the First Name. This field is required.
13. Middle Name Optional Enter the Middle Name.
13. Last Name Required Enter the Last Name. This field is required.
13. Suffix Optional Select the Suffix from the provided list or enter a new Suffix not provided on the list.
13. Title Required Enter the title of the authorized certifying official. This field is required.
13. Telephone Required Enter the telephone number (including area code and extension). This field is required.
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