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The voucher end-date is subject to available funding and the parent continuing to meet WPA eligibility requirements. Parent and provider will be notified of changes affecting enrollment and modifying the period of authorization.
You will receive payment within fifteen (15) business days of the date the invoice is received.
For large Center providers with multiple locations - we advise that you submit vouchers per location to ensure correct payment.
For easy completion - you should have the WPA voucher on hand - as information from the program voucher is required to complete the invoice.
*You can submit for only 20 children per invoice form
Provider Contact Name
I verify that the information I have provided on this invoice, and all information submitted in support of this invoice is true, correct and complete. I understand that my invoice request can be denied payment if the provider is making false or incorrect statements or failing to report changes.
I swear (or affirm) that all information on this invoice is true, correct and complete to the best of my ability, knowledge and belief.
I understand that I should receive payment within fifteen (15) business days of the date the invoice is received by the Working Parents Assistance (WPA) Program. I hereby give DHHS permission to contact me by telephone, text, or email.
NOTE: After you click on Submit - keep the receipt numbers for your records. You will be given the option of downloading a PDF version of your invoice - please download as you cannot access this application after submittal.