Get Ns-401-g Claim For Reimbursement Worksheet - Nebraska ...

The NS-401-G Claim For Reimbursement Worksheet is an essential document for users who are seeking reimbursement for meals served under the Nebraska Department of Education Nutrition Services program. This guide will provide clear and detailed instructions on how to accurately complete the form online.

Follow the steps to accurately fill out your claim form.

1. Press the ‘Get Form’ button to access the NS-401-G form and open it in your preferred editor.
2. Begin by filling in the center's name and the agreement number at the top of the form. Ensure that you provide accurate details to avoid any processing delays.
3. Indicate the month and year for which you are claiming reimbursement. This helps in organizing your submissions correctly.
4. In the attendance section, record the number of meals served for each meal type (breakfast, AM snack, lunch, PM snack, supper, and evening snack). Use the provided fields to fill in the corresponding counts for each day.
5. Enter the total number of participants served in the corresponding field. This should reflect the total attendance for the month, not just the meals served.
6. Calculate the Average Daily Attendance (ADA) by dividing the total in column S by the number of days served. Round the ADA to the next highest number, as necessary.
7. Before submission, conduct the listed edit checks to ensure accuracy. Verify that the center is approved to claim the noted meals, that the meal counts do not exceed attendance, and that the number of meals claimed does not repeat for 15 consecutive days without documentation.
8. After reviewing, save your entries. You may then download, print, or share the completed form as needed.

Start completing your NS-401-G Claim For Reimbursement Worksheet online today for a smooth reimbursement process.