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The form includes sections for DSH IST receipt and approval stamps, invoice month and year, and whether the submission is original or supplemental. It also captures dispute dates, invoice number, contract and contractor information, invoice summary totals, and signature fields, including date signed and contractor signature.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":21,"@type":70,"position":76},"https://docshare.wps.com/template/invoices/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/sheriff-jail-support-cost-ist-invoice-rate-and-contract-information/190112/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/sheriff-jail-support-cost-ist-invoice-rate-and-contract-information/190112.png","ImageObject",442,249,{"name":88,"@type":89},"Bill Black","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-03",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What charges are included in the Sheriff Jail Support Cost section?","Question",{"text":108,"@type":109},"The template includes one-time start-up cost reimbursement per county (laptops/software, etc.) and sheriff logistics and coordination charges for IST re-evaluation at flat rates.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the form distinguish an original invoice from a supplemental one?",{"text":113,"@type":109},"It provides an explicit question for whether the invoice is the original or a supplemental (additional) submission.",{"name":115,"@type":106,"acceptedAnswer":116},"Where are contract details and invoice totals entered?",{"text":117,"@type":109},"Contract info fields capture business name, address, phone, and contract details, and an invoice summary section lists evaluations and the total invoice amount.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},190112,1790459837,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":20,"category_name":21,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":76},24189269381491,"https://ap-avatar.wpscdn.com/avatar/160000cf11732dd8392?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788146458752108895","| Jail Support Cost | Rate |\n| --- | --- |\n| One-time start-up Cost Reimbursement per County (laptops/software etc.) | $5,000.00 |\n| Sheriff Logistics and Coordination of re-evaluation (portion of jail staff time to provide support, escort, security and monitoring of the IST defendant) Rate applies to services performed prior to July 1, 2022. | $500.00 Flat Rate Per IST Evaluation |\n| Sheriff Logistics and Coordination of re-evaluation (portion of jail staff time to provide support, escort, security and monitoring of the IST defendant) Rate applies to services performed after to June 30, 2022. | $1,000.00 Flat Rate Per IST Evaluation |\n\n\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| DSH IST Received |  |  | Stamp |  |  |  |  |  | DSH IST Approved S | tamp |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | IST INVOICE |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Month: |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Year: |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Is this invoice the original or a supplemental (additional)\u003Cbr>submission? |  | Original |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  | Supplemental (Additional) |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | FSD USE ONLY |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Invoice Number: |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Dispute Information: |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Disputed Date: |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Resolved Date: |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| CONTRACT INFO |  |  | RMATION: |  |  | \u003Cbr>TO : |  |  |  |  |  |  |  |  |  |  |\n| Business/Contract Name |  |  |  |  |  |  | California Depart |  | ment of State Hosp | itals |  |  |  |  |  |  |\n| Contracted Street Address |  |  |  |  |  |  | Attn: Accounts Pa |  | yable, MS-2 |  |  |  |  |  |  |  |\n| Contracted City, State, Zip |  |  |  |  |  |  | 1215 O Street Sacramento, CA 9 |  | 5814 |  |  |  |  |  |  |  |\n| Contract Phone Number |  |  |  |  |  |  | DSHSAC.Account |  | [sPayable@dsh.ca.g](sPayable@dsh.ca.g) | ov |  |  |  |  |  |  |\n| Current Contract Number |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | STOP!\u003Cbr>Please read!\u003Cbr>The totals will appear\u003Cbr>once your contractor\u003Cbr>infromation is complete. |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Invoice Summary |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Evaluations: |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | Total Invoice $ -\u003Cbr>|  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  | DATE SIGNED: |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| CONTRACTOR SIGNATURE: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |","cbCaiaSICJa9Qa91","https://ap.wps.com/l/cbCaiaSICJa9Qa91","pdf",1311339,8,"English","# Jail Support Cost\n## One-time start-up cost reimbursement\n## Sheriff logistics and coordination of re-evaluation\n# IST Invoice\n## Invoice details and submission type\n## Dispute information\n# Contract and Contractor Information\n## Contract info fields\n## Invoice summary and totals\n## Signatures and dates","[{\"question\":\"What charges are included in the Sheriff Jail Support Cost section?\",\"answer\":\"The template includes one-time start-up cost reimbursement per county (laptops/software, etc.) and sheriff logistics and coordination charges for IST re-evaluation at flat rates.\"},{\"question\":\"How does the form distinguish an original invoice from a supplemental one?\",\"answer\":\"It provides an explicit question for whether the invoice is the original or a supplemental (additional) submission.\"},{\"question\":\"Where are contract details and invoice totals entered?\",\"answer\":\"Contract info fields capture business name, address, phone, and contract details, and an invoice summary section lists evaluations and the total invoice amount.\"}]","Sheriff Jail Support Cost - IST Invoice - Rate and Contract Information | PDF",1788400790]