Downloadable Forms Below is a list of NEC forms for your convenience. Child Registration Forms: Child Registration Forms English or in Spanish Child Registration Forms Registration Procedure Child Initial Kid referral form Parent Contact Release form Spanish Parent Contact Release form Child Exit form To register a child with the center complete the Registration Packet below and Include a Parent Release. Send your form into the center for registration. We will send out a certificate to the eligible child's parents upon receipt of all records including: hearing, vision reports and IEP/IFSP. Technical Assistance Forms: (ALL STATES) Video/News Release (Family Press Release) Video/Observation (Teacher Training Release) DB/CVI Advisor Telephone List Deafblind Fact Sheet Monthly State Data Form TA Meeting Documentation Form Child Observation Form ObsForm OPI's (Outcome Performance Indicators) Short List SPARKLE Family Checklist SPARKLE Release SPARKLE Brochure SPARKLE Invitation - CT, MA, ME and NH Family Phone Network Call Sheet Parent Road Map Minnesota's version (CT, MA, ME and NH are coming) Part B & C Alert Billing Forms: (All States) Travel Expense Report Mileage Form (attach to back of Travel Expense Report) Cash Only Authorization (You will have to come and Pick this up) Check Only Authorization (Over $100) W9 Form (complete annually If your expenses are over $200/year) Tax Exempt Certificate Blank Invoice Billing Instructions: All billing forms must be submitted to the state you are working in, if you work for more that one state you must submit your expenses for EACH STATE separately. All forms must be submitted monthly for reimbursement. No billing will be excepted over 60 days. Original receipts must be attached, itemized bills, tolls slips etc. No alcohol may be reimbursed. No First Class seats will be reimbursed. State Specific Documentation Connecticut Brochure Levels of TA -Connecticut Maine Brochure Levels of TA - Maine Massachusetts Brochure Levels of TA - Massachusetts New Hampshire Brochure Levels of TA - New Hampshire Mail/Fax your completed forms to the NEC Regional office at NEC/Cheryl Harvey 175 North Beacon Street Watertown, MA 02472 - OR - Fax to: NEC: Attention Cheryl at 617-972-7354
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