Vendor Invoice Submission

Vendor Invoice Submission

What is today's date?*

Job Number?*

Please check your email for the Job Number provided for this assignment. (ex. HPT123456, HPT necessary, no spaces, 6 numbers)

Failure to input job number correctly may result in delayed payment processing.

Date of Service*

Who was the client?*

What type of service did you provide?*

If you provided more than one service, please complete separate invoices for each service.

Select

Was wait time approved? How long did you wait?*

Actual pick up time*

Appointment start time*

Appointment end time*

Pick up location*

Appointment location*

What is your/your business name?*

What was the initial agreed upon cost?*

Please input any notes from this service

Any additional time, rush, before/after hours/no-show information, etc. Any explanation for a difference in quoted price vs invoice total

Interpreter Miles*

Please input the mileage you traveled to and from the appointment

Loaded Miles*

Please input the number of miles traveled with the client in the vehicle

Was this a roundtrip, one-way, or were there multiple destinations?*

Round trip

One-way

Multiple destinations

Additional locations*

Invoice Total (Please input dollar amount total only)*

Please input your email address to receive updates regarding your invoice*

If you have your own invoice, you may attach it here.

If you have not invoiced us before and have not yet submitted a W-9, please do so now

Drag and drop files here or

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