MN Afterschool Advance Invoice Upload Form

MN Afterschool Advance Invoice Upload Form

In order to better track invoices and ensure timely payment, please upload all invoices, along with requested information, below. Please submit separate invoices for each family. Incomplete or missing information will likely result in delays in payment. If you have questions, please reach out to the MAA Manager, Jazmin Wilson at jazmin@youthprise.org.
Today's Date*

MonthDayYear
Date
Service Provider Submitting Invoice*
If not listed, please specify service provider name here.
If the name of your organization is not on the above list and you have not yet been approved to submit invoices, please contact Jazmin at jazmin@youthprise.org before submitting an invoice. Invoices will not be accepted from service providers that have not been certified and approved in 2024. If you've been approved but believe we mistakenly left your organization off this list, please indicate the organization name here.
Name of Person Submitting Invoice*

First NameLast Name
Email of Person Submitting Invoice*
example@example.com
Before submitting this invoice, please read and agree to the following:*
Invoice Number*
Invoice Date*

MonthDayYear
Date
Total Amount Requested from MN Afterschool Advance*
This amount should not exceed the amount each family has been approved for, and should not exceed 75% of the total cost of eligible instruction. If you have questions or are not certain of this information, please reach out to Jazmin before submitting.
Total Amount of Family Contribution*
If the additional 25%+ payment was collected directly from the family, please indicate that amount here. If the family did not make a family contribution, please put $0. Proof of parent contribution should be retained at your organization in the event the MN Department of Revenue requests proof (copies of invoices, checks, etc).
Total Amount of Scholarship Provided by Service Provider, If Any*
If the additional 25%+ payment was provided as a scholarship by your organization, please indicate that amount here. If no scholarship payment was provided, please put $0.
Total Activity Cost*
If there are additional costs that are ineligible for MAA, please include that total amount here.
Total Amount Requested Divided By Total Activity Cost. Amount requested should not equal more than 75% of total cost.
Should not equal more than .75
Full names of students on this invoice.
Please also include at least one other identifier to help us ensure we've found the correct student (ex: date of birth, parent name, address, etc) If this information is listed clearly on the invoice, you may skip this step. Please be aware that not providing clear information in this step may result in delays in payment.
Date(s) of Services Provided (at least one of these dates needs to be in the current year for it to qualify for the tax credit)*
Approximate Number of Hours of Service*
Please provide an approximate number of total hours that this service covers. MAA understands this may shift over time, but it should be clear from enrollment agreements how many hours of service the family has signed up for.
Any other comments
Please attach your invoice

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