| Field | Label | EDA Prepop | EDA Prepop Notes | Entry Requirement | |
| Contract Number Type | Contract Number Type | Mandatory - Defaults to ‘DoD Contract (FAR)’ if left blank | |||
| Contract Number | Contract Number | Yes | Key data - used to look up an EDA Contract | Mandatory | |
| Delivery Order | Delivery Order | Yes | Key data - used to look up an EDA Contract | Conditional | |
| CAGE Code | CAGE Code / DUNS / DUNS+4 / Ext. | Code entered must match what’s in EDA for Line Item Level data prepop | Mandatory | ||
| Pay Office DoDAAC | Pay Official | Yes | Mandatory | ||
| Reference Procurement Instrument Number | Reference Procurement Identifier | Yes | Optional | ||
| Document Type | Grant Voucher | Recommended doc types will be highlighted with “recommended” pre-pended to the document title | Mandatory | ||
| Final Voucher Indicator | Final Voucher | Mandatory (Defaults to N) | |||
| Issue Date | Issue Date | Yes | Optional | ||
| Issue By DoDAAC | Issue By DoDAAC | Yes | Optional | ||
| Admin DoDAAC | Admin DoDAAC | Yes | Mandatory | ||
| Grant Approver DoDAAC | Grant Approver | Yes | Mandatory | ||
| Grant Approver Extension | / Extension | Conditional | |||
| Voucher Number | Voucher Number | Mandatory | |||
| Voucher Date | Voucher Date | Mandatory | |||
| Basis of Request | Basis of Request | Mandatory | |||
| Employer Identification Number | Employer Identification Number | Pulled from DB | |||
| Recipient's Account Number | Recipient's Account Number | Optional | |||
| Period From Date | Period From Date | Mandatory | |||
| Period To Date | Period To Date | Mandatory | |||
| Currency Code | Currency Code | Yes | Mandatory | ||
| Activity/Payee Name 1 | Activity/Payee Name 1 | Optional | |||
| Activity/Payee Name 2 | Activity/Payee Name 2 | Optional | |||
| Activity/Payee Name 3 | Activity/Payee Name 3 | Optional | |||
| Address 1 | Address 1 | Optional | |||
| Address 2 | Address 2 | Optional | |||
| Address 3 | Address 3 | Optional | |||
| Address 4 | Address 4 | Optional | |||
| City | City | Optional | |||
| State | State | Optional | |||
| Zip Code | Zip Code | Optional | |||
| Country | Country | Optional | |||
| Military Location Description | Military Location Description | Optional | |||
| Grant WS | Type of Payment Requested | Mandatory | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
a. Total program outlays to date (As of date) | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
b. Less: Cumulative program income | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
c. Net program outlays(line a - line b) | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
d. Estimated net cash outlays for advance period | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
e. Total (Line c + line d) | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
f. Non-Federal share of amount on line e | The sum of amounts entered in Line 11f and Line 11g must be equal to Line 11e | Conditional | ||
| Table
11: Computation Of Amount Programs/Functions/Activities |
g. Federal share of amount on line e | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
h. Federal payments previously requested | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
i. Federal share now requested (line g - line h) | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
j. Advance required by month, when requested by Federal grantor agency for use in making prescheduled advances - 1st Month | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
j. Advance required by month, when requested by Federal grantor agency for use in making prescheduled advances - 2nd Month | Conditional | |||
| Table
11: Computation Of Amount Programs/Functions/Activities |
j. Advance required by month, when requested by Federal grantor agency for use in making prescheduled advances - 3rd Month | Conditional | |||
| Table
12: Alternate Computation |
a. Estimated Federal cash outlays that will be made during period covered by the advance | Conditional | |||
| Table
12: Alternate Computation |
b. Less: Estimated balance of Federal cash on hand as of beginning of advance period * | Conditional | |||
| Table
12: Alternate Computation |
c. Amount requested (line a - line b) | Conditional | |||
| Comment | Comment | Optional | |||
| Attachments | Attachment | Optional | |||
| Preview Document | Preview Document | System Generated | |||
| Signature Date | Signature Date | System Generated | |||
| Vendor Signature | Signature | Mandatory |