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IX. Filling Out Payment Invoice Forms

Respondents will be paid $20.00 cash for each interview.    Interviewers are responsible 
for safeguarding the funds, distributing them to respondents in the approved manner 
at the completion of interviews, and returning all signed reimbursement forms to the 
office promptly.  The site coordinator will distribute respondent payments to 
interviewers concurrent with reviewing the schedule of interviews for the coming 
2 weeks or one month.  At that time the site coordinator and interviewer will complete
 and sign a Reimbursement form from Supervisor to Interviewer.   
[See next page for form]

 

At the end of the interview,  the respondent and interviewer will complete and sign the 
Reimbursement form from  Interviewer to Respondent.    The funds are to be given to 
the respondent at that time in an envelope labeled with the respondent’s name. 
 
[See form on next page]

If the respondent is too tired to complete the interview, but is willing to schedule for 
another time, the interviewer should retain the payment until the second sitting when 
the interview is complete.    If the respondent is too tired to complete the interview 
and is not interested in rescheduling for another time, the interviewer should pay the 
respondent at the conclusion of that session. 


Example

REIMBURSEMENT FORM  

Supervisor to Interviewer
The purpose of this form is to chart the payment to be given to interviewers to dispense 
to respondents.
Name of supervisor:                 ______________________    

 

Supervisor signature: _____________________________   Date: ____/____/________

 

 

Interviewer signature:  < ____________________________ Date: ____/____/________

   

--------------------------------------------------------------------------------------------------------------------                                                                                                      Interviewer to respondent The purpose of this form is to chart the payment to 
be given to respondents for compensation.
Name of respondent:            
________________________________________________

   

Respondent signature: _____________________________   Date: ____/____/________

   

Interviewer signature:   _____________________________       Date: ___/___/_______                                                                          


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