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How to use or fill out related services billing form 7a with our platform
- Click ‘Get Form’ to open the related services billing form 7a in the editor.
- Begin by entering the year and month at the top of the form. This helps in organizing your submissions.
- In Section 1, provide detailed information about the student, including their date of birth, name, NYC ID number, and related service details such as service district and IEP recommendations.
- Next, fill out Section 2 with provider information. Include your Social Security number, name, address, email address, and telephone number.
- Proceed to Section 3 to enter agency information. This includes the Federal Tax ID number, agency name, address, email address, and telephone number.
- In Section 4, document service provision details such as date, frequency of sessions, start and end times, group size, rate per session, and total amount due.
- Finally, complete Section 5 by signing and dating the certification statement to confirm that services were provided as indicated.
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