Billing form preschool education 2026

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  1. Click ‘Get Form’ to open the billing form for preschool education in the editor.
  2. Begin with Section 1: Student Information. Fill in the student's name, NYC ID#, date of birth, home district, and related service details. Ensure accuracy as this information is crucial for processing.
  3. Proceed to Section 2: Provider Information. Enter your name, address, telephone number, SSN, IEP recommendations including frequency and duration of services, group size, language, and location of service.
  4. In Section 3: Agency Information, indicate whether the student was assigned by CPSE or through an RFP process. Complete agency details including name, address, contract number (if applicable), and contact information.
  5. Move to Section 4: Service Provision. Document each service date along with group size, start and end times. Obtain signatures from a parent or principal verifying that services were provided.
  6. Finally, complete Section 5: Certification of Service Provision by signing and dating the form. Include total sessions and amount due if applicable.

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