Report must be Uploaded to SESIS and set to FINAL
Fill Out Online Billing Form Specific to referral type (see below for type)
Attach Necessary Supporting Documentation to Billing Form (where required)
Please see below for a breakdown of Referral Types with Corresponding Links and Requirements
Once all of the above is received from you, and clinical approval of your report from the District Supervisor is confirmed by our office, we will forward your bill for payment.
When accessing this page you will be prompted to log in. You will need to log in using the same information as your SESIS account with @schools.nyc.gov added to the end of it.
For example; if your SESIS username is JSMITH22 then you enter JSMITH22@schools.nyc.gov as your user name and your password is the same as it is in SESIS.
Please note, the new form is a Microsoft Form which means that if you are already signed in to other Microsoft online applications like Outlook, you will need to sign out of that account in order to switch accounts and log in to the new form with your SESIS account.
If you are having issues switching your logged in account to your SESIS account, try opening the form in an private/incognito window (ctrl+shift+N in Google Chrome) to clear your browser's saved logins.
If you are continuing to experience issues logging in or do not have a SESIS account with which to log in, contact EvalPayments@schools.nyc.gov for assistance.
1. Contract:
Contract Assessment Billing Form
No additional documentation (other than the Online Billing Form) is needed for Contract referrals.
Please only submit referrals for line items which you HAVE a CONTRACT for.
2. Assessment Authorization (AA) and Enhanced Rates:
Authorized Assessment/Independent Agreement Billing Form
Documents needed to upload to form:
Signed and Completed AA2 (Parent, Evaluator, & Interpreter (if applicable) Signatures)
Signed and Completed AA8 (Evaluator Signature Only)
Resolution/Enhanced Rate:
Note: you are required to provide written proof that a DOE employee approved the rate for your evaluation listed on your paperwork.
Documents needed to upload to form:
Signed and Completed AA2 (Parent, Evaluator, & Interpreter (if applicable) Signatures) or other proof of referral (see below)
Signed and Completed AA8 (Evaluator Signature Only) - copy of blank AA8 located at bottom of this page if needed or other INVOICE document (see below)
You must upload a single file containing Proof of Referral and Invoice.
Proof of Referral:
This can be the initial Resolution Agreement paperwork, a signature on the invoice, or an email:
AA2 form with DOE representative signature indicating approval of Enhanced Rate OR Resolution Agreement (with DOE authorization)
Any equivalent paperwork containing written authorization by DOE employee
&
Invoice:
Completed AA8 Form (signed by evaluator)
or
Invoice on Company Letterhead
***Non-SESIS users:
New Assessment Authorization/Independent Agreement Billing Form for External Users
(ONLY IF YOU DO NOT HAVE SESIS ACCESS). Before using this form, you must try to gain SESIS access.
Q: How do I find out what I was paid for? What do the payment invoice numbers mean?
A: Information regarding how to look up payments and how to decipher the format of payment invoices (contract) can be found at this link.
For AA submissions, please use these instructions.
Q: When I try to access the billing forms I'm told I don't have permission to view the form, what do I do?
A: This means that you are currently signed in under another Microsoft Account. You will need to sign out of that account so that you can then sign in using your DOE account. If you are having trouble signing out, you could try using the Private/Incognito window feature of your internet browser to log in. If you are using Google Chrome, this can be done by pressing CTRL+SHIFT+N.
All Billing Forms