CAPS Invoice

Section 1: Contractor's Application For Payment

Billing Type

Partial

Full Billing

Company Name

Address

City, State, Zip Code

Federal ID #

Contract #

Proceed #

Purchase Orders #

Enter your Purchase Order number here (e.g., WR000000).

Work Order #

Bldg. ID #

Region / Team

Inspector/ Contract Manager Full Name

Application for payment is hereby made completed during the period:

Work Completed From

mm/dd/yyyy

Work Completed To

mm/dd/yyyy

Contractor's Certification

I (WE), _____ (Contractor), attest to the truth of the Contractor's Certification, on the this document, relating to the contract dated.

Contractor Name

Contractor Email

Contract Date

mm/dd/yyyy

Section 2: Detail of Payment

Number of items listed in this application

File Upload

Please upload all supporting documents for the CAPS Application.

Drop your files here

By checking this box, you confirm that you have thoroughly reviewed the entire form to ensure all information entered is accurate. Any errors will require you to resubmit a new CAP Invoice or may delay the process.

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