SR Reimbursement Resources and Forms

SR Reimbursement Technical Assistance Forms

• Extended Absences Form
  
• Extended Absence Form Example 1
  
• Extended Absence Form Example 2
  
• Template for Formal Parent-Client Note for Child's At Home Illness
  
• Monthly Adjustment Request Form
  
• SR Sign In Sign Out Form – Sample
  
• SR Sign In Sign Out Form with Meals – Sample
  
• SR Sign In Sign Out Form for Before and After Care – Sample
  
• Direct Deposit Form
  
• Temporary Closure Tip Sheet
  

Assistance with SR Reimbursement Rates

• School Readiness Provider Reimbursement Guide
  
• SR Daily Reimbursement Rates
  
• ELC of Pinellas Reimbursement Calculation Worksheet
  
• SR & Local Funding VPK Wrap Rate Calculation Example