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Report Missing POS
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* Indicates required question
Email
*
Your email
UCI Number
*
Enter the seven digit identifying number for the Regional Center client you are serving that is missing a purchase of service. This can be found in the footer of Regional Center reports.
Your answer
Last Name, First Initial
*
Please enter the full last name and the first letter of the first name for the individual you are serving that is missing a POS.
Your answer
Date of Case Management Contact
*
Enter the date you first sent an e-mail to the assigned case manager/case management supervisor alerting them to the missing POS.
MM
/
DD
/
YYYY
Start Date
*
Enter the start date for the purchase of service needed. If your previous POS ended 4/30/21, for example, and you have been providing continuous service, the start date needed would be 5/1/21.
MM
/
DD
/
YYYY
Vendor Number
*
Enter the vendor number for the purchase of service needed.
Your answer
Service Code
*
Enter the service code for the service being provided where the purchase of service is needed. This is a three-digit number. For example, 510 for an adult day program or 520 for independent living services.
Your answer
Service Sub Code
If applicable, enter the sub code for the service being provided where the purchase of service is needed.
Your answer
A copy of your responses will be emailed to the address you provided.
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