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c. Participants will be scheduled to receive only one gas card/bus pass per month. <br />d.No replacements will be issued in the event the participant loses his/her gas <br />card/bus pass. <br />e. Provision of gas card/bus pass is contingent upon the availability of funding. <br />D. EYE EXAM/GLASSES <br />Participant will be scheduled to receive only one eye exam/glasses voucher during their <br />program participation. <br />2. After identifying the need for eye exam/glasses assistance and exploring and <br />eliminating all other alternative funding sources. Adult/DW case manager will create <br />an ITA form to indicate what supportive services will be provided and will justify in <br />the comments section of ITA. Youth case manager will complete an Individual <br />Supportive Service Form. <br />3. Participants will only be issued a maximum $60.00 for an eye exam and a maximum of <br />$100.00 for eye glasses. <br />E. USB FLASH DRIVE <br />1. Participants must attend a minimum of one mandatory workshop (computer or resume) <br />in order to receive a flash drive, unless workshop is waived by staff. <br />2. No replacement of flash drive will be issued in the event the participant loses his/her <br />flash drive. <br />3. Workshop facilitator will distribute and check off FD box in WORK Plan to indicate <br />FD receipt. SAWC staff will document FD receipt in JTA (activity code 92) and/or <br />workshop database, as well as entering information in PASS. <br />4. Provision of USB Flash Drive is contingent upon the availability of funding. <br />F. OTHER (refer to Supportive Services Matrix) <br />Any other miscellaneous type expenses not covered above may be considered. This is not <br />to be construed that such request will be paid; only considered for reimbursement. The <br />request must be fully documented and all receipts in proper order. <br />G. SUPPORT SERVICES STATEMENT PROCESSING <br />Case Manager is responsible for: <br />a. Submitting requests for supportive services to Program Manager for approval or <br />utilize TVoucher as appropriate. <br />b. Reviewing invoices/statements for accuracy when client submits receipts for <br />19 <br />Exhibit A