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7. Program Director may only approve the types of incentives and the dollar limits as <br />described on the Incentive Matrix. Please see attached Chart. <br />8. Determination of need must be clearly documented in the case notes and must have the <br />Incentive Request Form, Incentive Log includes Application Number of participant and <br />including the justification of the cost. An Incentive Request Form must be completed and <br />have an original signature from the WIA Case Manager and the participant prior to <br />submission to the Program Director and the I Invoice Summary Form that indicates the <br />financial details of the request. <br />9. After the approval of Program Director and has been made, the WIA Case Manager <br />would need the approval and signature of the Finance Director. After the Finance Director <br />has approved the Incentive request, WIA Case Manager will obtain the incentive (i.e. Gift <br />Cards) from the Financial Department Staff. Incentives will be disbursed within 24 hours of <br />the request. Incentives not disbursed within the 24 hour time frame must be returned to the <br />Finance Department. <br />10. It is the responsibility of the WIA Case Manager to ensure that all incentive documentation <br />is maintained in the participant's file and also with the Finance Department. These <br />documents include: Incentives Log, Incentive Request form, Invoice Summary, Incentive <br />Voucher Log and a copy of issuance(e.g. Gift cards) and employment or education <br />verification. <br />11. Two (2) copies of all documents will be made for 1) participant's file, and 2) for the Finance <br />Department. <br />12. Incentives cannot be issued to a third party if participant is not available. Only the <br />participant can sign the appropriate forms to acknowledge receipt of the incentives. <br />13. Incentives shall not exceed $500.00 per participant during the course of the program, <br />including the post exit follow-up phase. <br />EXHIBIT A <br />12900 garden grove blvd, suite 214a I garden grove, california 92843 1 phone: 714.636.9095 1 fax: 714.636.8828 1 www.ocapica.org <br />orange county asian and pacific islander community alliance <br />