Justice Information Network - Funding - NCHIP
Forms
The A19-A Invoice Voucher is the form your agency would use to submit reimbursement requests per your agency's contractual agreement with DIS. Please complete the yellow parts of the form, attach receipts and other supporting documentation, and submit to:
Department of Information Services
Attn: Scott Chapman
P.O. Box 42445
Olympia, WA 98504-2445
