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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

X

Forms

Chapter:

A

Forms

6-15-2009

Subchapter:

1

Forms

Issuance:

16.106

CP&P Form 16-106, Request for Reimbursement for Emergency Fuel Purchases

 

Click here to view, print, or complete CP&P Form 16-106.

 

WHEN TO USE IT

 

This form is used to request reimbursement for an emergency purchase relating to the use of a State vehicle. The most common emergency purchase is gasoline.

 

HOW TO USE IT

 

•     Complete each item on the form.

 

•     The completed form is signed by the requestor and the Cost Center Manager.

 

•     The form is then forwarded to the DCF Office of Facilities Management (Cost Center #933) along with the original receipt(s).

 

•     After review and certification by Facilities Management's Vehicle Coordinator, the original form and receipt(s) are sent to the DCF Office of Accounting, Cost Center #973, for payment processing.

 

•     Only an original form with original signatures and the original receipt(s) will be accepted.

 

DISTRIBUTION

 

Original          -           DCF Office of Accounting

 

Copy               -           Employee

 

Copy               -           DCF Facilities Management