Va Ecc Vendor Attendance Report PDF Details

The Virginia Ecclesiastical Vendors Attendance Report Form is a document that must be filed with the Commonwealth of Virginia Department of State Treasury annually by all ecclesiastical vendors doing business in the state. The form is used to report the amount of tax collected and paid to the state during the previous calendar year. The deadline for filing this form is March 1st. Any vendor who fails to file this form will be subject to penalties and interest. To help vendors understand and complete the VA Ecc Vendor Attendance Report Form, we have created a guide with instructions and definitions. In this guide, you will find information on what expenses are taxable, how to calculate taxes owed, and when payments are considered late.

Here are some facts you might want to review before you begin using the va ecc vendor attendance report.

QuestionAnswer
Form NameVa Ecc Vendor Attendance Report
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesvaecc vendor attendance report, vendor attendance report, va ecc vendor, vaecc

Form Preview Example

VA-ECC VENDOR ATTENDANCE REPORT

Service Period:

 

 

 

 

 

 

 

 

through

 

 

 

 

 

 

 

 

 

 

 

 

Begin Date (mm/dd/yyyy)

 

 

 

End Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

Vendor ID:

 

 

 

 

 

 

 

 

 

 

Case Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor Name:

 

 

 

 

 

 

 

 

 

 

Parent Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor Address:

 

 

 

 

 

 

 

 

Parent Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, Zip:

 

 

 

 

 

 

 

 

 

 

City, State, Zip:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Administrator:

 

 

 

 

 

 

 

 

 

 

Parent Phone:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor Phone:

 

 

 

 

 

 

 

 

 

 

Child Client ID:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor Location:

 

 

 

 

 

 

 

 

Child’s Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Manual Attendance Reason (choose):

VA-ECC Card Issues

POS Issues

Retroactive Authorization

Attendance Report Details (one child per form):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Time Out

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Report Totals:

Number of Full Days

 

 

Part Days

 

 

 

Amount Owed:

 

 

Total Hours:

 

 

I certify that this statement of services provided by this vendor is an accurate and true record of attendance. I understand that I can be prosecuted for fraud if this is a false statement.

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Parent Signature / Date

 

Vendor Signature / Date

032-05-0546-02-eng (11/12)

Instructions for Completion of VA-ECC Vendor Attendance Report

Revised 11/29/2012

Each line must be filled out per instructions or the attendance report will be returned to the vendor.

1.Service Period Must: 1) begin on the first day of the month and end on the fifteenth day of the month, or; 2) begin on the sixteenth day of the month and end on the last day of the month; use date format mm/dd/yyyy.

2.Vendor information

a.Vendor ID your 9 digit Vendor ID number from your Purchase of Service Order

b.Vendor Name your individual or facility name from your Purchase of Service Order

c.Vendor Address street address of the home or center where the care is provided

d.City, State and Zip Code where the care is provided

e.Administrator Child Care Director or authorized representative to contact

f.Vendor Phone Child care phone number

g.Vendor Location County or City where the vendor is located

3.Parent information

a.Case Number 9 digit Case Number from your Purchase of Service Order

b.Parent Name – first and last name of the child’s parent from your Purchase of Service Order

c.Parent Address Street address

d.City, State and Zip Code

e.Parent Phone number

4.Child's Information

a.Child Client ID: 10 digit child Client ID number from the Purchase of Service Order

b.Child’s Name – first and last name of the child (one child per form)

5.Manual Attendance Reason check the appropriate box to indicate why attendance was not reported using either a POS or IVR system

a.VA-ECC Card issues - card related reasons the parent did not check in and out

b.POS Issues POS device was not installed or not working for the family to check in and out

c.Retroactive Authorization Effective begin date on Purchase of Service Order is more than 8 days in the past, authorized attendance recorded outside of the 9 day back swipe period (current day plus 8)

6.Attendance Report Details

a.Date Enter each Date for the service period, 1st through 15th, or 16th through 31st, month/day/year

b.Day Enter each Day of the week, (SUN, MON, TUE, WED, THU, FRI, SAT), for the service period

c.Code Enter a 3 letter code (ATT, AFD, APD, HFD, or HPD see #8 below) to indicate either Attendance, an Absent Day, or a Holiday; do not enter Time In, Time Out, or Hours for any day that the child was not in care

d.Time In Enter the exact time the care started as h:mm AM/PM (hour and minute, circle am or pm)

e.Time Out Enter the exact time the care ended as h:mm AM/PM (hour and minute, circle am or pm)

f.Hours Enter the total Hours and minutes for each day the child was in care

7.Report Totals

a.Enter the Number of Full Days (5 or more hours) and Part Days (less than 5 hours) child was in care

b.Enter the Amount Owed for the service period

c.Enter the Total Hours (hours and minutes) the child was in care during the report period

8.Codes for Absent days and Holidays (ATT, AFD, APD, HFD, HPD)

a.ATT Attendance; must enter Time In, Time Out, and total Hours and minutes for any day the child was in care

b.AFD Absent (Full Day) child was absent, vendor was open, child was authorized and expected to attend full day (5 or more hours)

c.APD Absent (Part Day) child was absent, vendor was open, child was authorized and expected to attend part day (less than 5 hours)

d.HFD Holiday (Full Day) vendor was closed, vendor charges parents for days they are closed due to holiday, and the child is authorized for Full Day care

e.HPD Holiday (Part Day) vendor was closed, vendor charges parents for days they are closed due to holiday, and the child is authorized for Part Day care

9.Parent and Vendor Signatures and Dates

a.Attendance reports must have both a parent and a vendor signature in blue ink on the form. Lack of both parent and vendor signatures may result in rejection of the attendance report

b.Asking parents to sign blank attendance forms will result in the vendor’s termination from program participation

10.Maintain a copy of the completed report for your records

11.Mail completed attendance report to:

VIRGINIA DEPARTMENT OF SOCIAL SERVICES PO BOX 1997, RICHMOND, VA 23218-1997

032-05-0546-02-eng (11/12)

Watch Va Ecc Vendor Attendance Report Video Instruction

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