Assessment Pay Request

Invoice Date:
Invoice #:    (your initials and the date mmddyy - abc010115)
Assessor:
Assessor Email:
Total Amount:

Match 1:
Game Date: Game Level:  
Referee Name:       Pos:
Teams:
Location:

Match 2:
Game Date: Game Level:  
Referee Name:       Pos:
Teams:
Location:
 
Additional Comments:
Comments:


Instructions:
All assessments are paid $50 / time slot
If you assess 2 Referees on a dual or a CR and an AR these should be done as a separate report to each referee, but only count as 1 assessment for billing purposes
No travel fees
Examples:

DATE REFEREE Level POS DETAILS AMOUNT
10/22/18 JOE BOB JVB REF PLANO HS VS WYLIE HS AT WHS $50
10/22/18 BOB SMITH VB A/R PLANO HS VS WYLIE HS AT WHS $50