The table below is a reference guide to help states, territories, and the District of Columbia complete the Federal Financial Report (SF-425). This report is required throughout the Lost Wages Assistance grant period of performance, including partial calendar quarters, as well as in periods where no grant award activity occurs.
Instructions and Guidance
Question 1: Federal Agency and Organization Element
Question 2: Federal Grant or Other Identifying Number Assigned by Federal Agency
Grant Award Number Listed at the top of your award letter. Ends in “SPLW”.
Question 7: Basis of Accounting
Select “Cash” or “Accrual”. Please consult with your treasurer/accountant to verify what type of accounting is used.
Question 8: Project/Grant Period
July 25, 2020 to your current period of performance end date.
Question 9: Reporting Period End Date
Should be the last date for the quarter being reported (i.e. 12/31/2020). For quarterly, semi-annual, and annual interim reports, use the following reporting period end dates: 3/31, 6/30, 9/30, or 12/31.
Question 10: Transactions
Enter the total amount of cash received from FEMA. This will be the total amount of all payment/drawdown requests received from the Federal government.
Enter the amount of Federal funds the recipient has spent from the amount the recipient withdrew from the Federal government. Even though a recipient withdrew funds from LWA, this does not necessarily indicate the recipient spent the entire amount.
This number will indicate whether or not you will have unused Federal funds. If the Federal funds withdrawn (Question 10a – Cash Receipts) is greater than the amount spent (Question 10b – Cash Disbursements), then this number will be positive.
Federal Expenditures and Unobligated Balance
Enter the total amount of Federal funds awarded. This will include the initial amount and any amendments to add funding.
Enter the Federal share for the benefits and administrative costs the recipient has obligated with the grant.
Line 10d minus line 10e. In most cases, this reflects the amount of Federal funds paid to the recipient by FEMA that has not been spent.
Line 10e plus line 10f.
Line 10d minus 10g.
Based on the amount of lost wages benefits and administrative costs spent, this question asks the recipient to enter the total cost-share required for these purchases. This amount should not include cost sharing and match amounts in excess of the amount required by the Federal agency for the cost share.
Based on the amount of benefits and administrative costs the recipient has obligated to the LWA Program, this question asks the recipient how much of their cost share did they spend? This question is similar to question 10e.
Lines 10l to 10o - Generally, there should be no program income associated with the LWA Program; as a result, the answer for this section should be $0.
Question 11: Indirect Expenses:
If applicable, please enter the total amount of indirect costs obligated to the award during this quarter. If there are no indirect expenses, please enter $0.
Question 13: Certifications
Must be signed by the unemployment agency POC responsible for administering supplemental lost wages.