OCFS-3127. Program Expenditure Report - Fringe Benefits
Form 3127, Program Expenditure Report - Fringe Benefits is a form used to report personnel related costs for certain state agencies. This form is used to report fringe benefit payments made by certain state agencies to individuals who provide program services. It is important to note that this form is only used by certain state agencies and is not applicable to all agencies.
The Program Expenditure Report - Fringe Benefits form consists of two sections. The first section of the form is the "General Information" section, which includes fields such as Agency Name, Agency Contact Person, Agency Address, Agency Phone Number, Agency E-mail, Program Name, Program Number, and Program Period. The second section is the "Personnel Information" section, which includes fields such as Name of Individual, Position Title, SSN, Hours Worked, and Fringe Benefits Paid. Additionally, there is a field for comments and remarks.
The important fields in this form include the Agency Name, Program Name, Program Number, Name of Individual, Position Title, Hours Worked, and Fringe Benefits Paid. Specific instructions and guidelines for completing this form are provided on the form itself. It is important to ensure that the form is completed accurately, as inaccurate or incomplete information can result in the form being rejected or delay processing.
The Program Expenditure Report - Fringe Benefits form would be used by certain state agencies to report personnel related costs for individuals who provide program services. The purpose of using this form is to accurately and efficiently report personnel costs, as well as to ensure that state agencies are in compliance with applicable laws and regulations. Additionally, the form is used to provide transparency and oversight into personnel costs.
No additional documents are required when filling out this form. However, related forms may exist for similar transactions or purposes, such as Form 3126, Program Expenditure Report - Salary and Wages.