Get Ca Elarc Request For Payment - Transportation 2012

The CA ELARC Request for Payment - Transportation form is essential for individuals seeking reimbursement for transportation expenses. This guide will provide you with clear instructions on how to complete the form online effectively.

Follow the steps to complete your form accurately.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. In the consumer information section, fill in the name of the consumer and their unique consumer ID number (UCI). Provide the consumer's address for correspondence.
3. Next, complete the payee information by specifying the name of the individual or organization to which the payment should be made. Ensure that the vendor provides a completed W9 form for processing payments.
4. Enter the payee's mailing address and phone number. This information is necessary for sending payment and communication.
5. In the payment information section, document the total miles traveled in whole numbers only. Include the start location and destination with the complete address, including city, state, and zip code.
6. Fill in the date of service in the format of month, day, and year. Ensure that it corresponds with the service you are claiming.
7. If this is the first payment request from this vendor, confirm that they have submitted the required W9 form to Acumen.
8. Calculate the total number of miles traveled for the trip. Remember that mileage reimbursement will be based on the approved rate provided in your authorization from the Regional Center.
9. Both the employee or transportation provider and the employer or authorized representative must sign the form. Each signatory must also indicate the date of signing.
10. After completing all sections, review the entries for accuracy, then save your changes, download the form, print it for your records or share it as needed.

Complete your CA ELARC Request for Payment - Transportation form online today to ensure timely processing of your payment.