(REVISED JANUARY 2018) KENTUCKY OFFICE OF HIGHWAY SAFETY DIVISION

(REVISED) CELE ORGANISING FRAMEWORK ON EVALUATING QUALITY IN EDUCATIONAL
(REVISED JANUARY 2018) KENTUCKY OFFICE OF HIGHWAY SAFETY DIVISION
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KENTUCKY STATE POLICE

(Revised January 2018)


Kentucky Office of Highway Safety

Division of Highway Safety Programs


REIMBURSEMENT CLAIM CHECKLIST FOR LAW ENFORCEMENT AGENCIES


Reimbursement claims, supporting documentation and activity reports are due monthly. Claims must be received no later than 30 days following the end of each month. For example, a claim for July should be submitted by the end of August. If for some reason an agency does not have activity for any given month, they must inform their KOHS Program Manager.

The following documents are required elements of your reimbursement claim:


Reimbursement Claim Form: Two (2) completed forms with an original signature and the printed name of the project director on each form.


Overtime Worksheets: Two (2) completed worksheets with an original signature and the printed name of the Fiscal Officer. Each officer should have only one line showing total hours worked for the month. Allowable employer paid benefits can include FICA (including Medicare), retirement, and workers compensation.


Supporting Documentation (Requires two (2) complete sets)



Activity Reporting Form: Two (2) completed forms with original signature and printed name of project director.


Officers Overtime Detail Logs: Two (2) copies of this form are required for each day the officer works an overtime shift. Logs must include the printed name and signature of both the officer and the supervisor (officers can not sign log as their own supervisor). Please do not send copies of the actual written citations to KOHS, send the Overtime Detail Logs as described.


Final Reports and Final Reimbursement Claims are due prior to October 31, 2018


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