COVID-19 Vaccine Reimbursement Guidelines

Please see the following links provided by the Department of Health Office of Minority Health for the COVID-19 vaccine invoice reimbursement guidelines for the community-based vaccine activities.  Also, attached please find the invoice template, invoice example and personnel expense template that organizations will need to complete and submit for reimbursement. 

The organization that is submitting for reimbursement will need to be setup as a vendor with the State of Tennessee first.  A blank W-9 form is attached and a hand signature is required. 

Should you have any questions about allowable expenses or submitting any of the attached forms, please  email us at [email protected]

COVID-19 Vaccination Invoice Reimbursement Guidelines

Example Invoice - Vendor Reimbursement Template

Blank Invoice Template - Vendor Reimbursement

COVID Event_Personnel Reimbursement Template

IRS W-9.pdf

State_of_TN_Supplier_Direct_Deposit_Authorization.pdf

Non-Allowable Expenses with Federal Funds.pdf

 

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