WCFC-ECDHS Invoice Template
Use this form to submit monthly billing for your role with the Early Childhood Developmental Health System (ECDHS) project by the 5th of each month (for the previous month's activities).
Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Business Name
*
Please Select
The ARC of Grays Harbor
Catholic Charities
Kavanaugh Consulting
WCFC Region
*
Please Select
North Central
Visions for Early Learning
What month(s) are you billing for? (select all that apply)
*
January
February
March
April
May
June
July
August
September
October
November
December
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Contract Deliverables - Status Update
Please provide a status update on your contract deliverables for the period in which you are reporting. We understand not all activities will be completed in one month's time.
*
Rows
Complete
Ongoing
Not yet started
Other
Participate in ECDHS bi-monthly meetings to support/provide thought partnership to
Grant County Pilot project (hosted by WithinReach and/or WCFC)
Participate in ECDHS community of practice
Submit a mid-year report summarizing activities completed, lessons learned, and recommendations to continue supporting local ECDHS activities after the contract ends. Due date April 30 and August 31, 2025.
Participate in WA State ECDHS evaluation plan activities as requested
Participate in Grant County ECDHS meetings
Share ECDHS and Grant County project updates to NCELC coalition (monthly) through newsletters, regional meeting minutes, and reports
Share ECDHS and Grant County project updates at quarterly NCELC hybrid meetings
Facilitate relationship connections between Grant County pilot and partners in ruralareas (ex: connect Thriving Together Resource Directory project with Grant County ECDHS activities)
Participate in mapping of resource access points, barriers, and resource eligibilityrequirements
Support expanded engagement with family survey with trusted NCELC partners (ex: ESIT family resource coordinators, play and learn groups, licensed child care providers,birth to 3 services, etc.)
Is there anything else you'd like to share regarding the ECDHS activities completed during the period in which you are reporting?
If you have photos or files to share, add them here:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
Contract Deliverables - Status Update
Please provide a status update on your contract deliverables for the period in which you are reporting. We understand not all activities will be completed in one month's time.
*
Rows
Complete
Ongoing
Not yet started
Other
Participate in ECDHS bi-monthly meetings to support/provide thought partnership to
Grays Harbor Pilot project (hosted by WithinReach and/or WCFC)
Participate in ECDHS community of practice
Submit a mid-year report summarizing activities completed, lessons learned, and recommendations to continue supporting local ECDHS activities after the contract ends. Due date April 30 and August 31, 2025.
Participate in WA State ECDHS evaluation plan activities as requested
Participate in Grays Harbor ECDHS meetings
Participate in monthly Grays Harbor ECDHS Stakeholders meetings
Provide communications support to encourage participation in stakeholders group
Provide data collection and analysis support to Grays Harbor Public Health Departmentwith parent surveys
Share ECDHS updates at VEL Board meetings
Share ECDHS updates in VEL and GHEL newsletters and on VEL and GHEL websites
Is there anything else you'd like to share regarding the ECDHS activities completed during the period in which you are reporting?
If you have photos or files to share, add them here:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
Contract Deliverables - Status Update
Please provide a status update on your contract deliverables for the period in which you are reporting. We understand not all activities will be completed in one month's time.
*
Rows
Complete
Ongoing
Not yet started
Other
Participate in ECDHS bi-monthly meetings to support/provide thought partnership to
Grays Harbor Pilot project (hosted by WithinReach and/or WCFC)
Participate in ECDHS community of practice
Submit a mid-year report summarizing activities completed, lessons learned, and recommendations to continue supporting local ECDHS activities after the contract ends. Due date April 30 and August 31, 2025.
Participate in WA State ECDHS evaluation plan activities as requested
Participate in Grays Harbor ECDHS meetings
Participate in monthly Grays Harbor ECDHS Stakeholders meetings
Support virtual engagements with Grays Harbor County parents
Provide communications support to encourage participation in stakeholders group
Support the distribution of parent surveys
Using parent survey data, work in collaboration with Help Me Grow to update resourceinformation for Grays Harbor County
Share ECDHS and Grays Harbor project updates to GHEL coalition
Lead “resource round-robin” at monthly GHEL coalition meetings
Participate in GHEL’s Coordinated Access monthly meeting
Recruit Family Resource Navigators to attend GHEL Coordinated Access meetings
Plan an Early Learning Expo for families to attend to learn about resources in our area
Lead monthly GHEL Early Learning Expo planning committee meetings
Collaborate on the development and implementation of local ECDHS evaluationactivities
Is there anything else you'd like to share regarding the ECDHS activities completed during the period in which you are reporting?
If you have photos or files to share, add them here:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
Billing Amount
Use the table below to record your invoice amount. Please record separate months on individual lines. For item description, you can state "ECDHS activities for [insert month]."
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Save
Submit
Thank you for completing this month's report
Should be Empty: