Universal Service - Rural Health Care Program

Universal Service - Rural Health Care Program

Copy of Attachment 6 - Copy of RHC Telecom Program_Invoice Template.xls

Universal Service - Rural Health Care Program

OMB: 3060-0804

Document [xlsx]
Download: xlsx | pdf
RHCD SERVICE PROVIDER INVOICE STATUS REPORT
















FOR RHCD USE ONLY










Service Provider Name


RHCD Processed Date



SPIN




Number of Records



Service Provider Invoice Number




Number of Records Approved



Invoice Date to RHCD (mm/dd/yy)




RHCD Approved Total Amount



Total Invoice Amount




















Funding Year
(yyyy)
HCP #
Funding Request #
HCP Entered Billing Account # Multiple Months (Y or N) Support Date (mmyyyy) Support Amount to be Paid by USAC
Code
1







A - Approved
2







A - Approved
3







A - Approved
4







A - Approved











File Typeapplication/vnd.ms-excel
File Modified0000-00-00
File Created0000-00-00

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