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[{"$nulls":5},"This form is required to be submitted on a quarterly basis for each Project Worksheet (PW).  If you have any questions, please contact the Division of Homeland Security & Emergency Management (DHS&EM) at 800-478-2337 or 907-428-7000.  This form can be faxed to DHS&EM at 907-428-7009.  Failure to send in the report on time can result in losing funding for projects."]
[{"$nulls":20},2013]
[{"$nulls":20},2014]
[{"$nulls":20},2015]
[{"$nulls":5},"Identify the performance period and year for this report:  (a separate form is required for each Quarterly Report)",{"$nulls":14},2016]
[{"$nulls":20},2017]
[{"$nulls":5},"Jan 1 to Mar 31 ",null,null,"(Due by April 15)",null,"Jul 1 to Sep 30",null,null,"(Due by October 15)",{"$nulls":6},2018]
[{"$nulls":20},2019]
[{"$nulls":5},"Apr 1 to Jun 30 ",null,null,"(Due by July 15)",null,"Oct 1 to Dec 31",null,null,"(Due by January 15)",{"$nulls":6},2020]
[{"$nulls":20},2021]
[{"$nulls":20},2022]
[{"$nulls":5},"Subrecipient/Applicant Name:",{"$nulls":6},"Telephone Number:",{"$nulls":7},2023]
[{"$nulls":20},2024]
[{"$nulls":5},"Project Coordinator / Representative:",{"$nulls":6},"Email Address:",{"$nulls":7},2028]
[{"$nulls":20},2029]
[{"$nulls":5},"Disaster Number:",null,null,"Project Number:",null,"Project Category (A-G):",null,"Today's Date:",{"$nulls":7},2030]
[{"$nulls":20}," "]
[]
[{"$nulls":5},"Key dates and activities accomplished this quarterly report period; (for example, what major tasks were completed?  Include any information about circumstances that could delay the estimated project completion date or result in an unexpected cost overrun.)"]
{"$rows_empty":10}
[{"$nulls":5},"Expected delays or identified problems; (for example, need to change the scope of work outlined in the PW, weather issues, etc. Include as much detail as possible.)"]
{"$rows_empty":8}
[{"$nulls":5},"Total funds awarded for project:",{"$nulls":7},0]
[{"$nulls":5},"Total funds expended to date:",{"$nulls":7},0]
[{"$nulls":5},"Do you plan on exceeding the approved PW amount? (* See Note 1)"]
[{"$nulls":5},"If Yes, by how much money?",{"$nulls":7},0]
[{"$nulls":5},"Will you be requesting reimbursement for your cost overrun?"]
[{"$nulls":5},"Will the project be completed as written in the Scope of Work? (If No, a request to change the PW or and improved/alternate project must be submitted to DHS&EM.)"]
[]
[{"$nulls":5},"What percentage of the project is complete?",{"$nulls":7},"%"]
[{"$nulls":5},"Are all advanced funds liquidated? (If not completely liquidated, please explain above):  "]
[{"$nulls":5},"What is the actual or expected completion date of project:"]
[]
[{"$nulls":5},"* Note 1:  The Subeecipient/Applicant will submit projected cost overruns, with complete justification, to the State Public Assistance Officer for routing to FEMA (for Federal Declarations)  for approval immediately upon realizing the expected overrun. The State has final authorty to approve cost overruns for state declarations."]

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