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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective

Date:

Volume:

X

Forms

Chapter:

A

Forms

4-14-2015

Subchapter:

1

Forms

Issuance:

K.100

CP&P Form K-100, Billing Spreadsheet

CP&P Form K-100, Client Service Invoice

 

 

Click here to view or print the K-100, Billing Spreadsheet template and the complete instructions for the “Secure Billing“ process.

 

Click here to view or print the CP&P Form K-100, Client Service Invoice.

 

WHEN TO USE IT

 

·         CP&P Form K-100, Billing Spreadsheet:

 

The CP&P Form K-100, Billing Spreadsheet, and DataMotion “Secure Billing” process replace the Support Service provider billing formerly submitted on the CP&P Form K-100, Client Service Invoice. The CP&P Form K-100, Billing Spreadsheet, is completed monthly by K-100 paid contracted service providers for support services rendered during each calendar month and submitted to the Local Offices via the “Secure Billing” process.

 

·         CP&P Form K-100, Client Service Invoice:

 

The CP&P Form K-100, Client Service Invoice, is only used by a small population of contracted support service providers who have been designated as such in accordance with their contract. This population of service providers continues to submit the CP&P Form K-100, Client Service Invoice to bill Local Offices for services rendered.

 

HOW TO USE IT

 

·         CP&P Form K-100, Billing Spreadsheet template - Providers follow the instructions located on the “Secure Billing” website.

 

·         CP&P Form K-100, Client Service Invoice - Follow the instructions located on page 2 of the form. The on-line copy is a read only sample in PDF format and not an on-line template. Use the carbonized forms located in your Local Office.  Carbonized copies of the form can be ordered by faxing the Forms Request Document to the Forms Unit. Every CP&P Form K-100, Client Service Invoice comes with a unique pre-printed invoice number in the two “CP&P Invoice Number” text boxes found on the top of the form. The Office of Accounting designates the sequence of the pre-printed numbers on the forms to avoid duplicate numbered invoices.  See completed sample. Do not alter, erase, or white-out the pre-printed numbers. Whether you provide one form or a batch of forms to a vendor make sure that each form has a unique pre-printed number on it and instruct vendors not to alter, erase, or white-out the pre-printed numbers.