Get Dcsresourceunit Dcs Gov

Completing the Dcsresourceunit Dcs Gov form online is a straightforward process designed to support foster parents in submitting their claims for per diem. This guide provides step-by-step instructions to ensure that you accurately fill out the form for timely processing.

Follow the steps to complete your claim form efficiently.

1. Click ‘Get Form’ button to access the claim form and opens it for completion.
2. In Box 1, enter your legal name as it appears on your Vendor Information Form, which is essential for identification.
3. Provide your Tax Identification Number in Box 2, which will be your Social Security Number.
4. Enter your 6-digit ST Number in Box 3; this is provided during your vendor registration.
5. For Box 4, create a unique Invoice Number that consists of up to 8 digits or letters for identification of each invoice.
6. Input the Date of Invoice in Box 5, ensuring it is within 10 business days of your invoice being received.
7. In Box 6, enter your current address, including city, state, and zip code.
8. Specify the type of invoice you are submitting in Box 7.
9. In Box 8, indicate the pagination of your invoice. For instance, 'Page 1 of 1' for a single-page invoice.
10. Check the box for 'Foster Parent' under Invoice Service Type in Box 9.
11. For Box 10, provide the first and last dates of the month for which you are billing.
12. Calculate the total of your claim in Box 11, summing all amounts you are billing.
13. Enter the county associated with your per diem in Box 12.
14. In Box 13, provide the PL# from the ICPR, starting with 'PL' at the beginning of the number.
15. Input the child's case number in Box 14, as this is a required field.
16. Enter the name of the foster child and any necessary comments in Box 15.
17. In Box 16, provide the applicable billing code for the service being billed.
18. Enter the start date of the service in Box 17.
19. Specify the end date of the service in Box 18, keeping in mind DCS regulations.
20. In Box 19, provide the number of days you are claiming as units.
21. Input the determined rate for billing in Box 20 as indicated on the child's ICPR.
22. Calculate the Total Cost in Box 21 by multiplying the units by the rate.
23. Sign the form in Box 22; an original signature is required.
24. Provide a contact phone number in Box 23 for any follow-up on your invoice.
25. In Box 24, enter your email address for correspondence regarding your invoice.
26. Lastly, enter the date you sign the invoice in Box 25.
27. Review all information for accuracy, then save your changes, and proceed to download, print, or share the completed form as needed.

Complete your Dcsresourceunit Dcs Gov form online today for a seamless claim process.