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participant prior to submission to the Program Director and the Supportive Service Request <br />Form that indicates the financial details of the request. <br />8. Case notes must include but not limited to participants individual needs and how these <br />needs relate to the supportive services request. Case notes should include that all <br />alternatives have been exhausted in an effort to obtain these supportive services through <br />other resources. <br />9. After the approval of the Program Director has been made, the WIA Case Manager will <br />obtain the supportive services lie bus passes) from the Supportive Services Coordinator. <br />The approval and signature of the Finance Director will also be obtained to ensure proper <br />issuance and documentation of the supportive services request. <br />10. It is the responsibility of the WIA Case Manager to ensure that all supportive services <br />documentation is maintained in the participant's file. This includes: the Supportive Services <br />Voucher Log and Supportive Services Request form with acknowledgement of issuance <br />and Invoice Summary. <br />11. All supportive services are appropriately coded in the JTA system (activity 81). <br />Actual dates of Supportive Services provision should be reflected in the system. <br />12. Copies of the actual supportive services (bus passes, gas cards, etc) shall be made on the <br />Voucher Log with the participant's signature upon receipt. Original invoices, statements <br />and receipts necessary to verify that a supportive service has been issued must be returned <br />to WIA Program Staff. <br />13. The original receipt /invoice must include :name, address, telephone number of the <br />company or services provider; date of services(s); what was purchased or what service <br />was provided; amount of service; and if the service was provided by an individual, with the <br />signature of the provider. <br />14. If a participant receives a supportive service and fails to return the appropriate <br />documentation /receipts, no additional supportive services will be given to them until such <br />receipts are provided. <br />15. If a gift card is lost, stolen or destroyed, the Participant must complete an Affidavit of <br />Lost /Stolen /Destroyed Prepaid Value Cards form and also be recorded in the appropriate <br />logs and noted in the Supportive Services Request Form and case notes. <br />16. Returned receipts must indicate that the gift card was used for its intended purpose stated <br />on the Supportive Services request form. <br />Updated 02.11.14 EXHIBIT A <br />12900 garden grove blvd, suite 214a 1 garden grove,WAsQI phone: 714.636.9095 1 fax: 714.636.8828 1 www.ccapica.org <br />orange county aslan and pacific Islander community alliance <br />