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f � � <br />Attachment 2A <br />INSTRUCTIONS FOR COMPLETING <br />MONTHLY STATISTICAL REPORT <br />Monthly statistical reports are required by the Division of <br />Aging Services to document all Title III funded services. <br />For most services, providers are required to submit the name <br />and social security number of each recipient. However, due <br />to lawyer /client confidentiality, that requirement is waived <br />for the provision of Legal services. <br />In completing the form provided as Attachment 3, the Legal <br />service provider should assign each case an anomynous code, <br />not to exceed nine digits or characters. This cede should be <br />listed in the social security number column of the report <br />form. <br />The number of units of service should be recorded on the day <br />provided. Units are to be totaled per person and per day. <br />Reimbursement will be made based on the total units of <br />service recorded for the month. The form must be signed and <br />_ dated. Please submit the original form to the Department ors <br />Aging no later than the fourth working day of the following <br />month. <br />It <br />F <br />F <br />