ORANGE COUNTY ASIAN & PACIFIC ISLANDER COMMUNITY ALLIANCE - 2014

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FW�k .. - __ ..._.. \y _ participant prior to submission to the Program Director and the Supportive Service Request Form that indicates the financial details of the request. 8. Case notes must include but not limited to participants individual needs and how these needs relate to the supportive services request. Case notes should include that all alternatives have been exhausted in an effort to obtain these supportive services through other resources. 9. After the approval of the Program Director has been made, the WIA Case Manager will obtain the supportive services (ie bus passes) from the Supportive Services Coordinator. The approval and signature of the Finance Director will also be obtained to ensure proper issuance and documentation of the supportive services request. 10. It is the responsibility of the WIA Case Manager to ensure that all supportive services documentation is maintained in the participant's file. This includes: the Supportive Services Voucher Log and Supportive Services Request form with acknowledgement of issuance and Invoice Summary. 11. All supportive services are appropriately coded in the JTA system (activity 81). Actual dates of Supportive Services provision should be reflected in the system. 12. Copies of the actual supportive services (bus passes, gas cards, etc) shall be made on the Voucher Log with the participant's signature upon receipt. Original invoices, statements and receipts necessary to verify that a supportive service has been issued must be returned to WIA Program Staff. 13. The original receipt/invoice must include :name, address, telephone number of the company or services provider; date of services(s); what was purchased or what service was provided; amount of service; and if the service was provided by an individual, with the signature of the provider. 14.If a participant receives a supportive service and fails to return the appropriate documentation/receipts no additional supportive services will be given to them until such receipts are provided. 15. If a gift card is lost, stolen or destroyed, the Participant must complete an Affidavit of Lost/Stolen/Destroyed Prepaid Value Cards form and also be recorded in the appropriate logs and noted in the Supportive Services Request Form and case notes. 16. Returned receipts must indicate that the gift card was used for its intended purpose stated on the Supportive Services request form. Updated 02.11.14 EXHIBIT A 12900garden grove blvd, suite 214a 1 garden grove, California 92843 1 phone: 714.636.9095 1 fax: 714.636.8828 1 www.ocapico.org orange county asian and pacific islander community alliance