Name

Required
Optional
Conditional

Edits/Business Rules

Reimbursement Banner

R

Includes the contents of this reimbursement.

ID

R

ID of selected reimbursement; unique ID assigned when the reimbursement is created.

(Status)

R

Status of selected reimbursement.

Possible statuses are 'Draft', 'Ready for Authorization', 'Ready for Invoicing', and 'Invoiced'.

Pay Period Ending (calendar)

R

Pay Period Ending Date from M-371A form.

Inspector Name

R

Inspector’s name.

Total Amount

R

Total dollar amount of this reimbursement.

Billing Account (eyeglass)

R

Permittee’s billing account.

Required when 'Ready For Invoice' is clicked.

Inspection Hours

C

Total hours posted by this inspector during this pay period.

Inspection Work Location

R

List of work location(s) for this permit.

ID (check box)

R

ID of one of the work locations associated with this reimbursement. At least one work location must be selected. Multiple work locations can be selected.

Work Summary

R

Description of work to be performed at this location.

County

C

County for this work location.

SR (State Route)

R

State Road for this work location.

From Segment

R

Starting segment on the SR for this work location.

To Segment

R

Ending segment on the SR for this work location.

From Offset

R

Starting offset for the 'From Segment' for this work location.

To Offset

R

Ending offset for the 'To Segment' for this work location.

Attachment

R

Allows for reimbursement document (M-371A form) to be attached to this permit and linked to this reimbursement.

M-371A Attachment:

R

File Name of M-371A form attached to this reimbursement.

Audit Information section

Application Setup section