OAA Grant Invoice Form

Submit your organization's invoice for Older Americans Act funding

Organizations Receiving Older Americans Act Funding Through CICOA

CICOA provides the following blank templates for you to use when submitting your monthly invoice and required documentation. Download the Excel document needed for your funding source and fill it out, then return here to upload it and submit to CICOA for processing. Please save a copy for your records.

Title III-B Funding

(Transportation, I&A, Legal)

III-B Template

Title III-D Funding

(Health Promotion)

III-D Template

Title III-E Funding

(Caregiver Support)

III-E Template

Title VII, VII-G, AL Funding

(Legal)

Legal Template

  • 1) Agency Information

  • You will receive a confirmation email after submitting your invoice, and we will use this email to contact you if we have questions.

  • 2) Upload File

  • Drop files here or
    Accepted file types: xls, xlsx, xlsm, csv, Max. file size: 10 MB, Max. files: 4.