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How to use or fill out Fillable Online Request for Payment form- Transportation 092616 with DocHub
- Click ‘Get Form’ to open the Fillable Online Request for Payment form- Transportation 092616 in our editor.
- Begin by entering the 'Person Served Information'. Fill in the name of the person served and their UCI number in the designated fields.
- Next, move to 'Payee Information'. Indicate whether the payee is an employee by selecting 'Yes' or 'No'. If 'Yes', provide the employee's name and ID number. If 'No', complete the vendor information and ensure a W9 form is submitted.
- In the 'Payment Information' section, input the date of service, number of miles/trips, and calculate total payment based on approved rates. Ensure all calculations are accurate.
- Finally, sign and date the form at the bottom to attest that services were delivered as authorized. Review all entries for accuracy before submission.
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