Get Universal Billing Form

The Universal Billing Form is essential for documenting and processing billing for services rendered. This guide will provide clear, step-by-step instructions on how to accurately fill out the form online to ensure seamless billing and record-keeping.

Follow the steps to successfully complete the Universal Billing Form

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter the date in the designated field provided on the form.
3. Select the month from the dropdown menu that corresponds to the billing period.
4. Input the service provider's name in the specified field.
5. Identify and enter the relevant school district in the section provided.
6. Indicate the service provided. If multiple services are provided, ensure to fill out a separate billing form for each service.
7. Complete the school site name where the service was rendered.
8. Enter the student’s name receiving the service.
9. In the service summary section, provide a brief description of the services rendered.
10. Record the number of minutes spent on evaluation or consultation.
11. Input the total hours of service provided in the respective field, ensuring accuracy.
12. Fill out the hourly cost for the provided service as applicable.
13. Calculate the subtotal by multiplying total hours by the hourly cost and enter this amount.
14. If applicable, calculate additional fees such as the FM Rental or Online Charter School Administrative Fee and include these in the total cost calculations.
15. Enter the total cost of services in the final section, ensuring all calculations are correct.
16. Verify all information entered is accurate and complete.
17. Review the declaration stating that services are verified and authorize the billing to be processed by signing in the space designated for the program administrator.
18. Finally, save any changes made, and use the options to download, print, or share the completed form as needed.

Complete your Universal Billing Form online today for efficient billing management.