Payment Process Information
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Welcome! We are so honored to partner with you for services to our children and their families!
In an effort to expedite payment for your services, the following supporting documentation is necessary:
- Invoice with your organization name, logo, remittance address, telephone number, and date.
- Specify terms according to contract or agreement (e.g. Net 30, etc.)*
- Specify dates of service and agreed fees or rate
- Separate by child’s name
- Service Request Authorization
- Shows the child’s name, type of service, rate, and total approved
- Shows the authorization number and county serviced
- Signed by the Case Manager/Supervisor
- Other Supporting documentation as necessary
- Court Order (when court ordered services)
- Lease Agreement (when asking for rent assistance)
- W-9 (updated annually and if new vendor)
- Payment receipts or 3rd party invoices (if reimbursing expenses like utilities, etc.)
- Flyer or copy of web page documenting prices
- Vendor account statement (when invoice not available)
- Check Request (for internal CBC employee requests)