BUDGET DETAIL WORKSHEETS - Grants.gov

Applicant Legal Name: ORI #:A. Sworn Officer PositionsPart 1: Full time sworn officer informationTotal Entry-Level BaseSalary for One Position $ x Years = $ (Base Salary Subtotal)Additional InformationB. Fringe Benefit Cost% of BaseSocial SecurityIf Exempt Check Here:Fixed Rate:Can’t Exceed 6.2% of total base salary. If less than 6.2%, exempt or fixed rate, provide an explanation in the "Sworn Officer PositionBudget Summary".MedicareIf Exempt Check Here:Fixed Rate:Can’t Exceed 1.45% of total base salary. If less than 1.45%, exempt, or fixed rate, provide an explanation in the "Sworn OfficerPosition Budget Summary".Health InsuranceFamily Coverage? Yes No Fixed Rate:Can’t Exceed 30% of total base salary for individual plans, or 45% for family plans. If it exceeds these rates or is a fixed rate, providean explanation in "Sworn Officer Position Budget Summary".Life InsuranceVacationSick LeaveNumber of Hours Annually:Number of Hours Annually:RetirementFixed Rate:Can’t Exceed 20% of the total base salary (unless a fixed rate). If a fixed rate, provide an explanation in the "Sworn Officer PositionBudget Summary".Worker's CompIf Exempt Check Here:Fixed Rate:Can’t Exceed 10% of the total base salary. If exempt or if it exceeds this rate, provide an explanation in the "Sworn Officer PositionBudget Summary".Unemployment Ins.If Exempt Check Here:Fixed Rate:Can’t Exceed 5% of the total base salary. If exempt or if it exceeds this rate, provide an explanation in the "Sworn Officer PositionBudget Summary".OtherDescribe:OtherDescribe:OtherDescribe:Total Salary (Part A)Total Fringe Benefits (Part B)$ +x# of Positions=Sworn Officer TotalTransfer to Budget Summary Line 1