Able2 Blue Mountains | Plan Management

Client \ Participant Name(Required)

NDIS Number(Required)

Remittance Provider \ Supplier name(Required)

Provider \ Supplier ABN(Required)

Date of Invoice(Required)

Invoice Number(Required)

Total Invoice Value(Required)

NDIS Item Code(Required)

Service

Quantity(Required)

NDIS Item Code

Service

Quantity

NDIS Item Code

Service

Quantity

Total NDIS Reimbursement Amount

Upload Paid Invoice(Required)

Max. file size: 128 MB.

Ensure that the invoice uploaded shows PAID or Balance Due 0.00

Upload Payment Receipt

Max. file size: 128 MB.

Optional

Account Name(Required)

BSB(Required)

Account Number(Required)

Plan Management – Reimburse Invoice