DEP Memorandum on Federal Reimbursement Documentation, September 18, 2001

NYC 9/11 Public Portal Document

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RENTED EQUIPMENT RECORD FORM INSTRUCTIONS

Fill in the entire heading. Ensure name, DSR number, time period and category is accurately completed. Please note: use a separate form for each category of work at each worksite.

COLUMN

a List the equipment rented to complete disaster work. Indicate make, model, size, capacity and horsepower as appropriate. b Enter date equipment was used in the top block and hours of equipment usage underneath. c Enter the hourly charge rate of equipment usage with an operator or without. This rate should be clearly outlined on the contract. d Multiply hours used by the appropriate rate for total cost. Add the column and enter the Total Cost. e Enter name of vendor the equipment was rented from. f Enter number from your invoice used to reserve the equipment.

g Enter the date the bill was paid. h Enter the check number used to pay the bill.

Sign the Rented Equipment Record fpxTn._ Use additional sheets when necessary. Each record needs to be certified. The information to complete this form is available from the purchasing unit, supervisor's record and other documents. Refer to the Applicant's Handbook for rental equipment eligibility.

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