8-Appendix AA.pdf

PDF 180 KB Posted

Attached to
Evaluation Services SSCP-000023 JDRC
Solicitation number
Not on record
Issued by
Delaware County, Pennsylvania

About this file

This is an Invoicing Submission Requirements appendix (Appendix AA) for the Delaware County Department of Human Services in Pennsylvania, establishing standardized procedures for vendors and service providers billing the county for contracted services. The appendix outlines two submission methods—mail delivery to the Department of Human Services Administration at 4990 State Road, Suite 101, Drexel Hill, PA 19026, or electronic submission to DelCoHSA_AP@co.delaware.pa.us—with explicit instructions that invoices must not be submitted through both methods simultaneously to prevent duplication. All invoices must be signed, dated, assigned a unique invoice number, and include the County Program Office and Program Name designation. For submissions containing client-specific data, a required coversheet must accompany the invoice with supporting detail documentation as directed by the assigned Program and Fiscal County Staff.

Electronic submissions are subject to additional requirements including separate email submission for each invoice in PDF format only, with non-compliant formats subject to rejection by Accounts Payable. The email subject line must include the agency name, County Program or Program name, invoice number, invoice date, and invoice amount. Cost Reimbursement Invoice Coversheets must include provider letterhead and address, the DHS Program Office designation, Program Name, invoice date, invoice number, service month, and invoice amount, and must be signed by an authorized representative with title designation. These standardized requirements apply to the evaluation services contract (SSCP-000023 JDRC) for the Department of Juvenile Detention and Rehabilitative Services.

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Other files

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6-RFP Cost Report.xlsx XLSX spreadsheet
1-Appendix F.pdf PDF
5-Appendix FF.pdf PDF
12-EvaluationSvcs RFP JDRC .pdf PDF
2-Appendix AA FFS CoverSheet.pdf PDF
4-Appendix EE.pdf PDF
9-Appendix CC.pdf PDF
7-Appendix II.pdf PDF
10-Appendix U.pdf PDF
11-Appendix LL.pdf PDF
3-Appendix DD.pdf PDF
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Text version

APPENDIX AA

Standard_Appendices(AppendixAA) 7/19, 7/25

INVOICING SUBMISSION REQUIREMENTS

Per your preference, invoices may be sent via mail OR email as follows:

Invoices submitted via mail to:

Accounts Payable Department Department of Human Services Administration 4990 State Road, Suite 101 Drexel Hill, PA 19026

Invoices submitted electronically to:

DelCoHSA_AP@co.delaware.pa.us

*NOTE: TO AVOID DUPLICATION DO NOT SEND THE INVOICE IN BOTH

FORMATS AND DO NOT COPY OTHER INDIVIDUALS

Basic Invoice Requirements

• All invoices must be signed, dated and include a unique invoice number as well as the County Program Office and Program Name

• All invoices must include a coversheet if client specific data is included (See sample attached of both Fee for Service & Cost Reimbursement invoice coversheets)

• All invoices must include detail to support amount due – as per directed / mandated by your Assigned Program / Fiscal County Staff

Additional Electronic Submission Requirements

• Submit invoices separately, one email for each invoice

• Invoice must be in PDF format only; any other format will be rejected by Accounts Payable

• Email subject line must include your Agency’s name, County Program / Program name for which the invoice is being submitted, Invoice #, Invoice Date and Invoice amount mailto:DelCoHSA_AP@co.delaware.pa.us

APPENDIX AA

Standard_Appendices(AppendixAA) 7/19, 7/25

COST REIMBURSEMENT INVOICE COVER SHEET

((Provider letterhead, address, etc))

To: Accounts Payable Delaware County Department of Human Services

4990 State Road, Suite 101 Drexel Hill, PA 19026

DHS PROGRAM OFFICE:

PROGRAM NAME:

INVOICE DATE:

INVOICE #

SERVICE MONTH:

INVOICE AMOUNT: $

((Signature)) ((Title))

File details come from the government source that posted it. Updated .