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Includes recipient and submission details for SORH/PC at the Vermont Department of Health, along with sections for Federal Grant reporting. Provides line items for SHIP VBP, SHIP COVID-19 with categories such as Safety, Response/Detect/Prevent/Diagnose/Treat, and Maintaining hospital operations, and a Flex Pop Health COVID-19 section. Summarizes amounts paid, sub-totals, and a final total payment prompt.",{"@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/ship-flex-invoice-expreport-template-2020-21/341387/",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/ship-flex-invoice-expreport-template-2020-21/341387.png","ImageObject",442,249,{"name":88,"@type":89},"Aldword","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-07","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What reporting period does this invoice and expense report template cover?","Question",{"text":108,"@type":109},"It covers Jan 20, 2020 through Aug 31, 2021.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Who is the recipient for submitted reports and invoices?",{"text":113,"@type":109},"The template addresses John Olson, Chief of SORH/PC at the Vermont Department of Health, with submission directed to John.olson@vermont.gov.",{"name":115,"@type":106,"acceptedAnswer":116},"What categories are included under the SHIP COVID-19 section?",{"text":117,"@type":109},"The SHIP COVID-19 section includes Safety, Response-Detect/Prevent/Diagnose and Treat COVID-19, and Maintain hospital operations.","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},341387,1790460246,{"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":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},2336478940917,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","[Hospital letterhead]  \nAttn. John Olson, Chief, SORH/PC Vermont Department of Health  \nSubmit reports & Invoice to: [John.olson@vermont.gov](John.olson@vermont.gov)  \nVDH COVID-19 Sub-grant Invoice Template & Expense Report Jan 20, 2020 – Aug 31, 2021  \nReporting period ending:    \nFederal Grant  \n Category Activity \\# Expense description Date range Amount Paid Sub-total I. SHIP VBP- (up to $11,110 / year by May 31, 2021)  \nA HCAHPS data collection  \nExample: HCAHPS data collection Press-Ganey invoices, Jun-Aug 2020 3 x 900 2,700  \nII. SHIP COVID-19- (up to $84,317 / year by August 31, 2021)  \nA. Safety – Hospitals are safe for staff and patients \\#  \n\\#\\#  \nB. Response-Detect, Prevent, Diagnose and Treat COVID-19  \n\\#\\#  \n\\#  \nC. Maintain hospital operations  \n\\#\\#  \n\\#  \nIII. Flex Pop Health COVID-19 (up to $20,000 / year by August 31, 2020)  \nA. Safety – Hospitals are safe for staff and patients \\#  \n\\#\\#  \nB. Response-Detect, Prevent, Diagnose and Treat COVID-19  \n\\#\\#  \n\\#  \nC. Maintain hospital operations  \n\\#\\#  \n\\#  \nPlease pay a total of $  to [   ] Hospital","cbCaieMwW2RTfurs","https://ap.wps.com/l/cbCaieMwW2RTfurs","pdf",164599,"English","# Reporting Details\n## Recipient and Submission Information\n## Federal Grant Line Items\n## SHIP VBP Category\n## SHIP COVID-19 Categories\n## Flex Pop Health COVID-19 Categories\n# Payment Summary","[{\"question\":\"What reporting period does this invoice and expense report template cover?\",\"answer\":\"It covers Jan 20, 2020 through Aug 31, 2021.\"},{\"question\":\"Who is the recipient for submitted reports and invoices?\",\"answer\":\"The template addresses John Olson, Chief of SORH/PC at the Vermont Department of Health, with submission directed to John.olson@vermont.gov.\"},{\"question\":\"What categories are included under the SHIP COVID-19 section?\",\"answer\":\"The SHIP COVID-19 section includes Safety, Response-Detect/Prevent/Diagnose and Treat COVID-19, and Maintain hospital operations.\"}]","SHIP-Flex-Invoice-ExpReport-Template-2020-21 | PDF",1790041711]