Your email
*
example@example.com
Participant Report Invoice Email Address
*
Provider Partners please enter the email to send the Support Notes Billing Invoice Report to participants relevant fund manager.
Support Team Member
*
Enter your name or the names of the support team members for the period related to the participants session/s.
Participant name
*
If delivering a MYCare group session with multiple participants please enter first names with commas.
Support Delivery Start Date
*
-
Year
-
Month
Day
Date support started
Support Delivery End Date
*
-
Year
-
Month
Day
Date support ended
Line Item Numbers
*
Claim Reference Number
*
Please use the participants initials followed by your initials & the date of support period. Eg YNPN220222to220322.
Quantity of Support Hrs
*
Please write these to 2 decimal places. eg 2hrs 30mins would be 2.5hrs, 2hrs 45mins would be 2.75hrs and please include your reporting time.
Travel time
Please bill inline with NDIS guidelines.
Hourly Rate
*
Please see relevant fees per hour above.
Kilometers
Additional Expenses
Total earnings calculation
*
Example: Support Hrs + 0.5hrs travel x Hourly Rate + Kms x 0.85% = Total Earnings
Your Invoice total
*
Billing Invoice Total
*
Provider Partners please enter the billing total to be sent to the client.
Please enter your support notes and any additional comments
*
Please upload additional expenses receipts, any photos of participant receipts for purchases, any photos, cancellation evidence if any and team spreadsheet profit invoice if applicable.
Browse Files
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Please add screenshot or photo of receipts for us to pay additional expenses.
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