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~tandUp ~ Porkids <br />ORANGE COUNTY <br />Payroll Journal: Internal payroll report showing payment dates, wages, taxes withheld, and <br />employer costs. <br />Receipts for Expenses (if applicable): Receipts for purchases such as work attire, <br />transportation , or supportive services. <br />Incentive Documentation (if applicable): Completed Incentive Pa yment Request Form with <br />required approvals and proof of goal achievement. <br />Participant Name and Program Details: The name of the participant(s), program name, and <br />worksite must be clearly listed on the invoice and accompanying documents. <br />Invoice Summary Sheet: A cover sheet summarizing the reimbursement requested, including: <br />-Total amount claimed <br />-Number of participants included <br />- Type(s) of r eimbursement (wages, incentives, expenses) <br />Submission Process <br />All documentation must be submitted electronically to the designated Program Manager or <br />Contract Administrator within 15 business days of the payroll date. Late or incomplete <br />submissions may be returned for correction or denied. Retain all original documents for aud i t <br />and monitoring purposes in compliance with 2 CFR Part 200. <br />EXHIBIT 3 <br />  <br />  <br />City Council 10 – 383 7/1/2025