Get Remittance Template

Filling out the Remittance Template online is a straightforward process designed to streamline your payment submissions. This guide will walk you through each section of the form, ensuring that you provide all necessary information accurately.

Follow the steps to complete the Remittance Template

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. In the ‘Agency Information’ section, enter the name of your agency, along with the appropriate contact person's name, and both the physical and mailing addresses including city, state, and zip code.
3. If applicable, fill out the ‘Fiscal Agent Information’ section with the relevant details similar to the agency information.
4. Select the ‘Type of Membership’ your organization currently holds: choose either ‘New’ or ‘Existing’ based on your status.
5. From the available options, select the appropriate level of membership your organization holds: Accredited, Affiliate, Support, Associate/Developing, Satellite, or Non-member.
6. In the ‘Reason for Payment’ section, provide the requested details for each applicable line item. Specify amounts for the Application Fee, Annual Membership Dues, NCAtrak Initial Fee, NCAtrak Annual Subscription, and OMS Subscription for non-members.
7. Calculate the total amount by summing up the entries from lines 1 to 5 and enter this total in the designated area.
8. Choose your preferred payment method: if opting for credit card, follow the provided link to the payment portal, or enter your check number and check amount if paying by check.
9. Review all entered information for accuracy before finalizing the submission. Once satisfied, you can save changes, download a copy, print the form, or share it as needed.

Start filling out the Remittance Template online to ensure a smooth payment process.