CDD Contracts and Grants Reporting & Payment Submissions

Agency of Human Services
Department for Children and Families
Child Development Division
Welcome to the Child Development Division’s centralized payment processing system!

Is this for CIS Early Intervention provider invoices, Initial Evaluation invoices, Prior Authorization Requests (PA’s) and related general correspondence?*
YesNo
Is this a Community Child Care Support Agency (CCCSA) Grant Invoice?*
YesNo
Great!! Please click "Next" to Continue....

PART I -- Contact Information:
Today's Date*
MonthDayYear
Company/Organizational Name*
Point of Contact*
First NameLast Name
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Phone Number*
Area CodePhone Number
E-mail*

PART II -- Reporting & Payment Information:
Agreement # (i.e., Contracts "30000" or Grants "03440-00000-00-AAA")*
Are deliverables or reports due? (Refer to Attachment B of the Agreement. Payment requests will not be processed if required reports or deliverables have not been received.) Your response further certifies that invoiced amounts have been (or for advance funds, shall be spent) on allowable activities per the agreement and agree to produce the source documents upon which this invoice is based upon request. The Vendor further certifies that all required reports/services have been delivered in accordance with the agreement.*
YesNo
Deliverable or Electronic Report Upload:
Upload a File(s)
Cancelof
Invoice or Attachment H Upload:*
Upload a File
Cancelof

Payment Provisions:
The maximum dollar amount payable under the agreement is not intended as any form of a guaranteed amount. The Contractor will be paid for products or services actually delivered or performed, as specified in Attachment A, up to the maximum allowable amount specified on page 1 of the agreement.
Payment terms are Net 30 days from the date the State receives an error-free invoice with all necessary and complete supporting documentation.
The Vendor shall submit invoices to the State in accordance with the schedule set forth in Attachment B of the agreement. Unless a more particular schedule is provided herein, invoices shall be submitted not more frequently than monthly.

Please send invoice to AHS.DCFCDDCISEI@vermont.gov