jagomart
digital resources
picture1_Excel Sheet Download 30994 | Repair Notification And Invoice Form


 187x       Filetype XLSX       File size 0.20 MB       Source: www.bar.ca.gov


File: Excel Sheet Download 30994 | Repair Notification And Invoice Form
sheet 1 repair 1 section 1 station amp consumer information 0 cap id consumer last name 0 1 lic plate vehicle year remaining cap funds 50000 calculations use specific approval ...

icon picture XLSX Filetype Excel XLSX | Posted on 08 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: Repair 1
SECTION 1 - STATION & CONSUMER INFORMATION

0







CAP ID #
Consumer Last Name


0






1
Lic Plate #
Vehicle Year
Remaining CAP Funds $500.00

Calculations use specific approval amount.





0 0
ARD # 0 Station Name 0

PR instructs ARD to imput specific $ amount







Tech Lic #
RO Ref #
Labor Guide


for any funds approved over $500. (H12)







Labor Rate $0.00 Tax Rate 0.000% ARD Phone # (000) 000-0000










Print Name
Title
Date











Signature Station Fax # or E-Mail Address










0






























SECTION 2 - ADDITIONAL FUNDS APPROVAL










Pre-Approval
Request
Additional CAP Funds Approved By
Additional CAP Funds Approval Amount









400































SECTION 3 - REPAIR INFORMATION










Repair Notification #1 Labor Units Labor Total Parts Quantity Parts Price Parts Total
I3 for Formulas












$0.00
$500.00





0





$0.00








0





$0.00
Previously Used Funds





0





$0.00
$0.00





0





$0.00








0





$0.00
CAP ID Total





0





$0.00
$0.00





0





$0.00








0





$0.00
RN #1 Subtotals





0





$0.00
Labor Parts





0





$0.00
$0.00 $0.00





0





$0.00








0
Calculation 1
(BAR Use Only)
Calculation 2
(BAR Use Only)
Funds approved over $500 CAP Funds (up to $500) Tax Notification #1 Total
Consumer Co-Pay (20% of total) Consumer Paid Over CAP amount Additionally approved CAP funds CAP Funds (up to $500) Tax RN #1 Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00




















Repair Notification #2 Labor Units Labor Total Parts Quantity Parts Price Parts Total
CAP ID Total












$0.00
$0.00





0





$0.00








0





$0.00
RN #2 Subtotals





0





$0.00
Labor Parts Max CAP A Formula CAP A Formula 2 H12 Verification
0





$0.00
$0.00 $0.00 -$500.00 $0.00 0
0





$0.00








0
Calculation 1
(BAR Use Only)
Calculation 2/CAP A
(BAR Use Only)
Funds approved over $500 CAP Funds (up to $500) Tax Notification #2 Total
Consumer Co-Pay (20% of total) Consumer Paid Over CAP amount Additionally approved CAP funds CAP Funds (up to $500) Tax RN #2 Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00




















SECTION 4 - SUMMARY DETAIL










Labor Total Parts Total Tax Repair Summary Calculation 1 & 2 Consumer Cost Share Funds approved over $500 CAP Total


Grand Total



Consumer Grand Total CAP Grand Total
BAR Use Only


Labor Parts
Total Tax Grand Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00


$0.00 $0.00
$0.00 $0.00
$0.00 $0.00













Sheet 2: Repair 2
SECTION 1 - STATION & CONSUMER INFORMATION

0







CAP ID #
Consumer Last Name


0






1
Lic Plate #
Vehicle Year
Remaining CAP Funds $500.00

Calculations use specific approval amount.





0 0
ARD # 0 Station Name 0

PR instructs ARD to imput specific $ amount







Tech Lic #
RO Ref #
Labor Guide


for any funds approved over $500. (H12)







Labor Rate $0.00 Tax Rate 0.000% ARD Phone # (000) 000-0000










Print Name
Title
Date











Signature Station Fax # or E-Mail Address










0






























SECTION 2 - ADDITIONAL FUNDS APPROVAL










Pre-Approval
Request
Additional CAP Funds Approved By
Additional CAP Funds Approval Amount









400































SECTION 3 - REPAIR INFORMATION










Repair Notification #1 Labor Units Labor Total Parts Quantity Parts Price Parts Total
I3 for Formulas












$0.00
$500.00





0





$0.00








0





$0.00
Previously Used Funds





0





$0.00
$0.00





0





$0.00








0





$0.00
CAP ID Total





0





$0.00
$0.00





0





$0.00








0





$0.00
RN #1 Subtotals





0





$0.00
Labor Parts





0





$0.00
$0.00 $0.00





0





$0.00








0
Calculation 1
(BAR Use Only)
Calculation 2
(BAR Use Only)
Funds approved over $500 CAP Funds (up to $500) Tax Notification #1 Total
Consumer Co-Pay (20% of total) Consumer Paid Over CAP amount Additionally approved CAP funds CAP Funds (up to $500) Tax RN #1 Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00




















Repair Notification #2 Labor Units Labor Total Parts Quantity Parts Price Parts Total
CAP ID Total












$0.00
$0.00





0





$0.00








0





$0.00
RN #2 Subtotals





0





$0.00
Labor Parts Max CAP A Formula CAP A Formula 2 H12 Verification
0





$0.00
$0.00 $0.00 -$500.00 $0.00 0
0





$0.00








0
Calculation 1
(BAR Use Only)
Calculation 2/CAP A
(BAR Use Only)
Funds approved over $500 CAP Funds (up to $500) Tax Notification #2 Total
Consumer Co-Pay (20% of total) Consumer Paid Over CAP amount Additionally approved CAP funds CAP Funds (up to $500) Tax RN #2 Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00




















SECTION 4 - SUMMARY DETAIL










Labor Total Parts Total Tax Repair Summary Calculation 1 & 2 Consumer Cost Share Funds approved over $500 CAP Total


Grand Total



Consumer Grand Total CAP Grand Total
BAR Use Only


Labor Parts
Total Tax Grand Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00


$0.00 $0.00
$0.00 $0.00
$0.00 $0.00













Sheet 3: Repair 3
SECTION 1 - STATION & CONSUMER INFORMATION

0







CAP ID #
Consumer Last Name


0






1
Lic Plate #
Vehicle Year
Remaining CAP Funds $500.00

Calculations use specific approval amount.





0 0
ARD # 0 Station Name 0

PR instructs ARD to imput specific $ amount







Tech Lic #
RO Ref #
Labor Guide


for any funds approved over $500. (H12)







Labor Rate $0.00 Tax Rate 0.000% ARD Phone # (000) 000-0000










Print Name
Title
Date











Signature Station Fax # or E-Mail Address










0






























SECTION 2 - ADDITIONAL FUNDS APPROVAL










Pre-Approval
Request
Additional CAP Funds Approved By
Additional CAP Funds Approval Amount









400































SECTION 3 - REPAIR INFORMATION










Repair Notification #1 Labor Units Labor Total Parts Quantity Parts Price Parts Total
I3 for Formulas












$0.00
$500.00





0





$0.00








0





$0.00
Previously Used Funds





0





$0.00
$0.00





0





$0.00








0





$0.00
CAP ID Total





0





$0.00
$0.00





0





$0.00








0





$0.00
RN #1 Subtotals





0





$0.00
Labor Parts





0





$0.00
$0.00 $0.00





0





$0.00








0
Calculation 1
(BAR Use Only)
Calculation 2
(BAR Use Only)
Funds approved over $500 CAP Funds (up to $500) Tax Notification #1 Total
Consumer Co-Pay (20% of total) Consumer Paid Over CAP amount Additionally approved CAP funds CAP Funds (up to $500) Tax RN #1 Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00




















Repair Notification #2 Labor Units Labor Total Parts Quantity Parts Price Parts Total
CAP ID Total












$0.00
$0.00





0





$0.00








0





$0.00
RN #2 Subtotals





0





$0.00
Labor Parts Max CAP A Formula CAP A Formula 2 H12 Verification
0





$0.00
$0.00 $0.00 -$500.00 $0.00 0
0





$0.00








0
Calculation 1
(BAR Use Only)
Calculation 2/CAP A
(BAR Use Only)
Funds approved over $500 CAP Funds (up to $500) Tax Notification #2 Total
Consumer Co-Pay (20% of total) Consumer Paid Over CAP amount Additionally approved CAP funds CAP Funds (up to $500) Tax RN #2 Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00




















SECTION 4 - SUMMARY DETAIL










Labor Total Parts Total Tax Repair Summary Calculation 1 & 2 Consumer Cost Share Funds approved over $500 CAP Total


Grand Total



Consumer Grand Total CAP Grand Total
BAR Use Only


Labor Parts
Total Tax Grand Total
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00


$0.00 $0.00
$0.00 $0.00
$0.00 $0.00













The words contained in this file might help you see if this file matches what you are looking for:

...Sheet repair section station amp consumer information cap id last name lic plate vehicle year remaining funds calculations use specific approval amount ard pr instructs to imput tech ro ref labor guide for any approved over h rate tax phone print title date signature fax or email address additional preapproval request by notification units total parts quantity price i formulas previously used rn subtotals calculation bar only up copay of paid additionally max a formula verification summary detail cost share grand approv...

no reviews yet
Please Login to review.