Language
English (US)
Ready for claim processing?
Use this form to request early claim check-in any time from the 1st of the month through 2 pm on the 4th of the month.
IMPORTANT! Required for Early Check-in
Claims must meet all requirements below to be eligible for early processing.
If approved, your claim totals will be ready in 24 hours!*
*Excludes weekends & holidays
Date
-
Month
-
Day
Year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Your Name
*
Example: Jane Doe
Your Email Address
*
Example: jdoe@abcdaycare.com
Facility Name
*
Example: ABC Daycare
Claim Month & Year
*
Example: April 2022
REQUIREMENT #1 - Are all daily meal production records completed & approved?
*
NO
YES
REQUIREMENT #2 - Has attendance been recorded for all meals/classrooms?
*
NO
YES
REQUIREMENT #3 - Have all digital time distribution reports been approved by both an employee AND a supervisor?
*
NO
YES
REQUIREMENT #4 - Have you uploaded at least 5 valid receipts for this claim month (prior to the 23rd)?
*
NO
YES
Submit Request
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform