appendix xv - xxxiv appendix xxxiv: apd payroll control file sent to provider - appendix xv - price...

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APPENDIX XV - XXXIV APPENDIX XV: PRICE SHEET APPENDIX XVI: INSTRUCTIONS FOR TEST PAYROLL RUN APPENDIX XVII: PAY SCHEDULE APPENDIX XVIII: PAYROLL TAX SUMMARY REPORT APPENDIX XVIIII: GENERAL LEDGER TRANSACTION REPORT (EXAMPLE) APPENDIX XX: GENERAL LEDGER ACCOUNTS APPENDIX XXI: GENERAL LEDGER RELATIONSHIPS APPENDIX XXII: GENERAL LEDGER CASH REPORT APPENDIX XXIII: OUTSTANDING CHECKS REPORT APPENDIX XXIV: EMPLOYEE PAYROLL CHECK AND STUB AND FORMAT APPENDIX XXV: EMPLOYEE PAYROLL EFT STATEMENT AND FORMAT APPENDIX XXVI: EXAMPLE OF VENDOR AND INDEPENDENT CONTRACTOR CHECK AND STUB FORMAT APPENDIX XXVII: EXAMPLE OF VENDOR AND INDEPENDENT CONTRACTOR DIRECT DEPOSIT STATEMENT FORMAT APPENDIX XXVIII: RETURN XML TRANSACTION REPORT RETURN FROM PROVIDER APPENDIX XXIX: APD PAYROLL VENDOR FILE SENT TO PROVIDER APPENDIX XXX: APD PAYROLL EMPLOYEE FILE SENT TO PROVIDER APPENDIX XXXI: APD PAYROLL EMPLOYERS FILE SENT TO PROVIDER APPENDIX XXXII: APD PAYROLL INVOICE FILE SENT TO PROVIDER APPENDIX XXXIII APD PAYROLL TIMESHEET FILE SENT TO PROVIDER APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER -

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Page 1: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XV - XXXIV

APPENDIX XV: PRICE SHEET

APPENDIX XVI: INSTRUCTIONS FOR TEST PAYROLL RUN

APPENDIX XVII: PAY SCHEDULE

APPENDIX XVIII: PAYROLL TAX SUMMARY REPORT

APPENDIX XVIIII: GENERAL LEDGER TRANSACTION REPORT (EXAMPLE)

APPENDIX XX: GENERAL LEDGER ACCOUNTS

APPENDIX XXI: GENERAL LEDGER RELATIONSHIPS

APPENDIX XXII: GENERAL LEDGER CASH REPORT

APPENDIX XXIII: OUTSTANDING CHECKS REPORT

APPENDIX XXIV: EMPLOYEE PAYROLL CHECK AND STUB AND FORMAT

APPENDIX XXV: EMPLOYEE PAYROLL EFT STATEMENT AND FORMAT

APPENDIX XXVI: EXAMPLE OF VENDOR AND INDEPENDENT CONTRACTOR CHECK AND STUB FORMAT

APPENDIX XXVII: EXAMPLE OF VENDOR AND INDEPENDENT CONTRACTOR DIRECT DEPOSIT STATEMENT FORMAT

APPENDIX XXVIII: RETURN XML TRANSACTION REPORT RETURN FROM PROVIDER

APPENDIX XXIX: APD PAYROLL VENDOR FILE SENT TO PROVIDER

APPENDIX XXX: APD PAYROLL EMPLOYEE FILE SENT TO PROVIDER

APPENDIX XXXI: APD PAYROLL EMPLOYERS FILE SENT TO PROVIDER

APPENDIX XXXII: APD PAYROLL INVOICE FILE SENT TO PROVIDER

APPENDIX XXXIII APD PAYROLL TIMESHEET FILE SENT TO PROVIDER

APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER

-

Page 2: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XV - PRICE SHEET

A. Rate for each active participant

CHARGE FOR EACH ACTIVE PARTICIPANT

MONTHLY RATE* FOR EACH PARTICIPANT

801 - 1000 participants

1001 - 1500 participants

1501- 2000 participants

2001 - 3000 participants

3001 or more participants

Monthly rate shall not exceed $ per month per participant below 1000 participants and the per participant monthly rate must decrease as the number of participants increase above that level.

B. Cost for each emergency check (Not to exceed $ , including $

regular mail postage)

C. Cost for each emergency check delivered by overnight mail service (Not $ to exceed $ , including overnight mail service)

D. Supplemental Payrolls (Agency Request Only) $

E. Cost per hour of extraordinary research (Agency Request Only – not to

exceed $ _ per hour $ IF THE RATES STATED ABOVE ARE EXCEEDED BY THE OFFEROR, THE RESPONSE WILL BE REJECTED.

(THE RENEWAL TERM IS THE SAME NUMBER OF YEARS AS THE TERM OF THE ORIGINAL CONTRACT AND SHALL NOT EXCEED THE AMOUNTS STATED FOR THE INITIAL TERM OF THE CONTRACT.)

By submission of and signature on this form, the offeror states that the signer has the authority to bind the offeror and that the offeror agrees to all terms and conditions of this RFP and commits the offeror to the prices stated above.

NAME: TITLE: COMPANY: PHYSICAL ADDRESS: MAILING ADDRESS (IF DIFFERENT): E-MAIL ADDRESS: TELEPHONE NUMBER: SIGNATURE: DATE:

Page 3: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XVI

INSTRUCTIONS FOR TEST RUN PAYROLL

A. Offerors shall email ( @apdcares.state.fl.us) to request the CD for the data for the dummy/test payroll. Emails should be sent during the timeframe specified in the Schedule of Events and Deadmines, and should provide the contact name and phone number for agency staff to provide user id's and passwords.

B. Offerors shall download all files on the CD. They shall include six files that demonstrate the formats of actual payroll files that shall be transmitted by the agency for the dummy payroll. Additionally, the desired format and content for checks and check stubs shall be provided on the file.

C. On or about the date specified on the Calendar of Events, the Agency will send, via overnight mail a CD which contains six files, in the same format as the sample files provided, that contain dummy payroll data. Offerors shall use these six files to produce a payroll and generate all checks.

Page 4: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XVII - PAY SCHEDULE

Sunday Monday Tuesday Wednesday Thursday Friday Saturday Jul-18

1 End Pay Period

2 3 Payroll Deadline 5 pm

6/19 - 7/2

4 Independence Day

CDC+ Closed

5 6 7

8 9 10 Pay Day

11 12 13 14

15 End Pay Period

16 17 Payroll Deadline 5 pm

7/3 - 7/16

18 19 20 21

22 23 24 Pay Day

25 26 27 28

29 End Pay Period

30 31 1 Payroll Deadline 5

7/17. 7t:m

2 3 4

AuQ-18 5 6 7

Pay Day 8 9 10 11

12 End Pay Period

13 14 Payroll Deadline 5 pm

7/31 - 8/13

15 16 17 18

19 20 21

Pay Day 22 23 24 25

26 End Pay Period

27 28 Payroll Deadline 5 pm

8/14- 8/27

29 30 31 1

Seo-18

2 3 Labor Day

CDC+ Closed

4 Pay Day

5 6 7 8

9 End Pay Period

10 11 Payroll Deadline 5 pm

8/26 - 9/9

12 13 14 15

16 17 18 Pay Day

19 20 21 22

23 End Pay Period

24 25 Payroll Deadline 5 pm

9/10 - 9/23

26 27 28 29

30 1 2 Pay Day

3 4 5 6

Oct-18

7 End Pay Period

8 Columbus Day Banks Closed

9 Payroll Deadline 5 pm

9/24-10/7

10 11 12 13

14 15 16 Pay Day

17 18 19 20

21 End Pay Period

22 23 Payroll Deadline 5 pm

10/8 - 10/21

24 25 26 27

28 29 30 Pay Day

31 1 2 3

Nov-18

4 End Pay Period

5 6 Payroll Deadline 5 pm

10/22 - 11/4

7 8 9 Veterans Day CDC+ Closed

10

11 12 13 Pay Day

14 15 16 17

18 End Pay Period

19 20 Payroll Deadline 5 pm

11/5-11/18

21 22 Thanksgiving CDC+ Closed

23 Thanksgiving CDC+ Closed

24

25 26 27 Pay Day

28 29 30 1

Dec-18

2 End Pay Period

3 4 Payroll Deadline 5 pm

11/20-12/3

5 6 7 8

9 10 11 Pay Day

12 13 14 15

16 End Pay Period

17 19 Payroll Deadline 5 pm

12/3 - 12/16

20 21 22 23

24 25 ChristmasDay CDC+ Closed

26 Pay D a y

27 28 29 30

31 End Pay Period

Page 5: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

J J J WednesdayJ 1

NEW YEARS DAY CDC+ Closed

2 Payroll Deadline5pm

12/18 -12/31

3 4 5 6

Jan-18

7 8 9 Pay Da y

10 11 12 13

14 End Pay Period

15 MLKDAY

CDC+ Closed

16 Payroll Deadline 5pm

1/1 -1/14

17 18 19 20

21 22 23 Pa v Dav

24 25 26 27

28 End Pay Period

29 30 Payroll Deadline 5 pm

1/15 -1/28

31 1 2 3

Feb-18

4 5 6 Pay Day

7 8 9 10

11 End Pay Period

12 13 Payroll Deadline5 pm

1/29 • 2/11

14 15 16 17

18 19 20 Pay Day

21 22 23 24

25 End Pay Period

26 27 Payroll Deadline 5 pm

2/12 • 2/25

28 1 2 3

Mar-18

4 5 6 P ay D ay

7 8 9 10

11 End Pay Period

12 13 Payroll Deadline 5 pm

2/26 • 3/11

14 15 16 17

18 19 20 Pay Day

21 22 23 24

25 End Pay Period

26 27 Payroll Deadline 5pm

3/12 -3/25

28 29 30 31

ADr-18

1 2 3 Pay Day

4 5 6 7

8 End Pay Period

9 10 Payroll Deadline 5 pm

3/26-4/8

11 12 13 14

15 16 17 Pay Day

18 19 20 21

22 End Pay Period

23 24 Payroll Deadline 5 pm

4/9 • 4/22

25 26 27 28

29 30 1 Pay Day

2 3 4 5

Mav-18

6 End Pay Period

7 8 Payroll Deadline 5pm

4/23 • 516

9 10 11 12

13 1 4 15 Pay Day

16 17 1 8 19

20 End Pay Period

21 22 Payroll Deadline 5 pm

516 -5/20

23 24 25 26

27 28 MEMORIAL DAY CDC+

Closed

29 Pay Day

30 31 1 2

Jun-18

3 End Pay Period

4 5 Payroll Deadline 5 pm

5/21 • 6/3

6 6 7 8

10 11 12 Pay Day

13 14 14 15

17 End Pay Period

18 19 Payroll Deadline 5 pm

6/4 • 6117

20 21 22 23

24 25 26 Pay Day

27 28 29 30

Page 6: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

Consumer/ Provider# No slash between numbers

APPENDIX XVIII- PAYROLL TAX SUMMARY REPORT

Provider Gross Reimbursement Name

ss Med Federal State City Other Deductions

Social Security

Tax

Medicare tax

FUTA Tax

SUTA tax

Child Support,

etc.

Page 7: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XVIIII - GENERAL LEDGER TRANSACTION REPORT (EXAMPLE)

Entry ID

Date Description Origin

AP Invoice AP

Matchup AP

Payment AP Voided Payment GL Money Transaction PR Agency

Pay PR

Employee Pay

PR Void Employee

Pay PR Void Agency

Pav

Reference Number

Reference Name

Account Number

Cost Center Code

Debit Amount

Credit Amount

Payor Code

Journal #

Transaction date

Agency PR check

AP check Cash Payment Employee PR

check Invoice

Submitted by Consumer Payroll tax

Check# or EFT

Payee name of manual entry of action

(reverse, payroll tax, EFTPS, sweep, etc.)

GL Code #

Participant ID #

Participant ID# & Provider# (one string, no

spaces)

Reimbursement Reverse Entry Sweep from Savings Void & Stop Pay check

Page 8: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

I APPENDIX XX: GENERAL LEDGER ACCOUNTS

IAccountNumberl Descnet1on Ongm I AccountTtee I 10000 Checking Account GLMA Asset 10010 Adjustment GL Asset 10020 Transfer toSweep GL Asset 10021 Transfer toS avings GL Asset 10600 Adjustment GL Asset

Accounts Payable Control 20000 Account AP Liability 21000 Federal Income Taxw/h GL Liability 21010 SS Taxw/h GL Liability 21020 SS Tax Accrual GL Liability 21030 Medicarew/h GL Liability 21040 Medicare Accrual GL Liability 21050 FUTAw/h GL Liability 21060 FUTA Accrual GL Liability 22010 Garnishments GL Liability

22011 125 Employer sponsored Cafeteria Plan GL Liability

45000 Interest Earned GL Revenue 50000 Revenue GL Revenue 70000 Wages Expense GL Expense 71000 SS Expense GL Expense 72000 Medicare Expense GL Expense 73000 FUTA Expense GL Expense 74000 SUTA Expense GL Expense 75000 Vendor Payments GL Expense

Page 9: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XXI GENERAL LEDGER RELATIONSHIPS

General Ledger Relationships AP Payment

Recoupment

Deposit

Employee Payment

Sweep from Savings

Adjustment

Cash Payment

10000 20000 75000

10000 20000 75000 50000 10021

10000 50000

10000 21000 21010 21020 21030 21040 21050 21060 70000 71000 72000 73000 74000 75000

10000 10020 20000

1000

10600

20000 75000

Page 10: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XXII GENERAL LEDGER CASH REPORT

Date Origin APPayNendor Payment) APVPANoided AP Payment) GlMT(Medicaid Deposit) PREMP(Employee Payment) PRVEMNoided Employee Payment)

Example ol General led�er Cash Report

Sub Account Reference Number Reference Name Description Debit Amount Credit Amount Balance ParticipanVConsumer ID# CK# Payee Name AP ChecK

EFT Employee PR ChecK: Main Run Deposit Recoupment & dale

Page 11: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XXIII - OUTSTANDING CHECKS REPORT

Date Reference Number Description Amount Check number or Name

EFT

Page 12: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XXIV- EXAMPLE OF EMPLOYEE PAYROLL CHECK AND STUB AND FORMAT

CDC+

Pay

To The Order Of

Street Address

City, ST ZIP Code Phone (509) 555-0190 Fax (509) 555-0191

Employee Code

Four Hundred Ninety One Dollars and 6/100

Employee Name

Address

Check#

Pay Date:

491.69

Employee Code: Employee Name: Pay Period REG CUR HRS CURWAGES YTDWAGES CURW/H YTDW/H 46.50 622.50 3,157.00 FED 83.18 407 49 MED 9.03 45 78

NOSTATE

ss -

38.60

195 74

Current Reimb CurWages Cur Deds Net Pay YTDWages YTD Deds YTD Net 0.00 622.50 130.81 491.69 3,157.00 649.01 2,507.99

Page 13: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XXV -EXAMPLE OF EMPLOYEE PAYROLL EFT STATEMENT AND FORMAT

CDC+LOGO

Employee Code

Bank Account Type

Emp oyee Code

Employee Name Address

DFI Account Number Amount

Pay Date Amount

pay pen.od

Wages Cur Hours REG 22.00

CurAmt YTDAmt Deductions CurAmt YTDAmt 242 1,618 FED 29.03 195.48

MED 3.51 23.45 NOSTATE 0.00 0.00 ss 15.02 100.33

Current Reimb Cur Wages Cur Deds 0.00 242.24

Example of Employee EFT Stub

Net Pay YTD Wages YTD Deds YTD Net 47.56 194.68 1,618.24 319.26 1,298.98

Page 14: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

I I I

APPENDIX XXVI - EXAMPLE OF VENDOR AND INDEPENDENT CONTRACTOR CHECK AND STUB FORMAT

CDC+ LOGO StreetAddress

City, ST ZIP Code

Phone (509) 555-0190 Fax (509) 555-0191

Check#

Pay To The Order Of

Vendor Name xxxxxxxxxxxxxxxxxxxxxx

Invoice Number

Four Hundred Ninety One Dollars and 6/100

Vendor's Name Address

Consumer Provider# DATE lxxxxxxxxxxxxxxxxxxxx lxxxxxxxxxxxxxx I

Invoice Date Description

CheckAmount Pay Date: ------- 491.69

Net Amount Consumer Provider Code I xxxxxxxxxxxxxxxxxxxx

XXXXXXXXXXXXXX>

xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxx

xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx

XXXXXXXXXXXXXX>

XXXXXXXXXXXXXX>

xxxxxxxxxxxxxxxxx XXXXXXXXXXXXXX>

XXXXXXXXXXXXXX>

xxxxxxxxxxxxxxxxx XXXXXXXXXXXXXX>

XXXXXXXXXXXXXX>

xxxxxxxxxxxxxxxxx XXXXXXXXXXXXXX>

xxxxxxxxxxxxxx: xxxxxxxxxxxxxxxxx

Example of Employee Check & Stub

Page 15: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XXVII - EXAMPLE OF VENDOR AND INDEPENDENT CONTRACTOR DIRECTDEPOSIT STATEMENT FORMAT

CDC+LOGO

AP Eft Stub

EFT Date EFT Amount Vendor Code Vendor Name Vendor Account Number 3/31/2009 539.00 xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxx

Invoice Number Date Amount Paid 200903 3/31/09 3/4/2009 539.00

Example of AP EFT Stub

Page 16: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

APPENDIX XXVIII: RETURN XML TRANSACTION REPORT RETURN FROM PROVIDER (FORMAT)

<?xml version=111.011 encoding=11UTF-811?> <xsd:schema xmlns:xsd=11http://www.w3.org/2001/XMLSchema11 xmlns:od=11urn:schemas-microsoft-

com:officedata11> <xsd:element name=11dataroot11> <xsd:complexType> <xsd:sequence> <xsd:element ref=11FEA_x0020_1mport_x0020_2008-03_x0020_BR" minOccurs=11011

maxOccurs=11unbounded"/> </xsd:sequence> <xsd:attribute name=11generated11 type="xsd:dateTime11/> </xsd:complexType> </xsd:element> <xsd:element name= "FEA_x0020_1mport_x0020_2008-03_x0020_8R11> <xsd:annotation> <xsd:appinfo> <od:index index-name=11costcentercode11 index-key=11costcentercode II primary=11no 11 unique= 11no 11

<od:index index-name=11entrylD11 index-key=11entrylD II primary=11no11 unique=11no11 clustered= 11no"

order=11asc11/> <od:index index-name=11payorcode" index-key=11payorcode " primary=11no11 unique=11no11 clustered=1 1no11

order="asc"/>

<od:index index-name=11PrimaryKey11 index-key=11ID II primary=11yes1

1 unique=11yes11 clustered=11no" order="asc''/>

<od:tableProperty name=110rientation11 type=112" value="011/> <od:tableProperty name=110rderByOn11 type=11111 value=111"/> <od:tableProperty name=11NameMap11 type=111111

value=11CswOVQAAAAAgcQ1OczUqTIOn++Weeh2 7AAAAAB6QrCv2X+NAAACRAAEvADBGAEUA

QQAgAEkAbQBwAG8AcgBOACAAMgAwADAAOAAtADAAMwAgAEIAUgAAAAAAAAA3WOIG 1MjKTpxWR/gQmJXS8wAAACBxDXRzNSpMg6f75Z56HbtJAEQAAAAAAAAA0UfGLQxd WkyrbGl/ysf6igcAAAAgcQ1OczUqTIOn++Weeh27ZQBuAHQAcgB5AEkARAAAAAAA AAAV/0SecQiKQqxMv18ULakc8wAAAC8xDXRzNSpMg6f75Z56HbtkAGEAdABIAAAA AAAAAFaEzp1hdC1Dl2v/3RRQnigHAAAAIHENdHM1KkyDp/vlnnodu2QAZQBzAGMA cgBpAHAAdABpAG8AbgAAAAAAAACfzahCpOEMQbOF6qMrMQloBwAAACBxDXRzNSpM g6f75Z56HbtPAHIAaQBnAGkAbgAAAAAAAADkOUIPFBJsTr2/fllDHloDBwAAACBx DXRzNSpMg6f75Z56HbtyAGUAZgBIAHIAZQBuAGMAZQBuAHUAbQBiAGUAcgAAAAAA AABhPfqNGbxTLc+tofa99U9BwAAACBxDXRzNSpMg6f75Z56HbtSAGUAZgBIAHIA ZQBuAGMAZQBOAGEAbQBIAAAAAAAAANsQ3f07/cFAiiMWTSxP8MIHAAAAIHENdHM1 KkyDp/vlnnodu2EAYwBjAG8AdQBuAHQAbgB1AGOAYgBIAHIAAAAAAAAAL7/ZfJyi qEy7sut5qX67KgcAAAAgcQ1OczUqTIOn++Weeh27YwBvAHMAdABjAGUAbgBOAGUA cgBjAG8AZABIAAAAAAAAAEZpGDwqYwZJoCE64LKhsSQHAAAAIHENdHM1KkyDp/vl nnodu2QAZQBiAGkAdABhAGOAbwB1AG4AdAAAAAAAAADXxEo78XDUT4unaFNRwsgh BwAAACBxDXRzNSpMg6f75Z56HbtjAHIAZQBkAGkAdABhAGOAbw81AG4AdAAAAAAA AAAsliERH7gmQ6eKlw0deOelBwAAACBxDXRzNSpMg6f75Z56HbtwAGEAeQBvAHIA YwBvAGQAZQ DAAAAAM �,....r-,,....,....,,....,....,...,....,.....,...,...,....,.�,...,...,,... AAAAAA==

http://www.w3.org/2001/XMLSchema11

Page 17: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

"/> <od:tableProperty name="DefaultView" type="2" value="2"/> <od:tableProperty name="GUID" type="9" value="IHENdHM1KkyDp/vlnnoduw==

"/> </xsd:appinfo> </xsd:annotation> <xsd:complexType> <xsd:sequence> <xsd:element name="ID" min0ccurs="1" od:jetType="autonumber" od:sqlSType="int"

od:autoUnique="yes" od:nonNullable="yes" type="xsd:int">

<xsd:annotation> <xsd: appinfo> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="GUID" type="9" value="N1tCBiDlyk6cVkf4EJiVOg==

"/> </xsd:appinfo> </xsd:annotation> </xsd:element> <xsd:element name="entrylD" minOccurs="O" od:jetType="double" od:sqlSType="float"

type="xsd:double"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="DecimalPlaces" type="2" value="255"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="GUID" type="9" value="OUfGLQxdWkyrbGl/ysf6ig==

"/> </xsd:appinfo> </xsd:annotation> </xsd:element> <xsd:element name="date" minOccurs="O" od:jetType="datetime" od:sqlSType="datetime"

type="xsd:dateTime"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="IMEMode" type="2" value="O"/> <od:fieldProperty name="IMESentenceMode" type="2" value="3"/> <od:fieldProperty name="GUID" type="9" value="Ff9EnnElikKsTL9fFC2pHA==

"/> </xsd:appinfo> </xsd: annotation>

Page 18: APPENDIX XV - XXXIV APPENDIX XXXIV: APD PAYROLL CONTROL FILE SENT TO PROVIDER - APPENDIX XV - PRICE SHEET A. Rate for each active participant CHARGE FOR EACH ACTIVE PARTICIPANT

</xsd:element> <xsd:element name="description" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="2970"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="AllowZerolength" type="1" value="1"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="IMEMode" type="2" value="O"/> <od:fieldProperty name="IMESentenceMode" type="2" value="3"/> <od:fieldProperty name="UnicodeCompression" type="1" value="O"/> <od:fieldProperty name="GUID" type="9" value="VoTOnWFOLUOXa//dFFCeKA==

"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Origin" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="AllowZerolength" type="1" value="1"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="IMEMode" type="2" value="O"/> <od:fieldProperty name="IMESentenceMode" type="2" value="3"/> <od:fieldProperty name="UnicodeCompression" type="1" value="O"/> <od:fieldProperty name="GUID" type="9" value="n82oQqdBDEGzheqjKzEJaA==

"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="referencenumber" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/>

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<od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="AllowZerolength" type="1" value="1"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="IMEMode" type="2" value="O"/> <od:fieldProperty name="IMESentenceMode" type="2" value="3"/> <od:fieldProperty name="UnicodeCompression" type="1" value="O"/> <od:fieldProperty name="GUID" type="9" value="5DICDxQSbE69v3yCAxyKAw==

"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ReferenceName" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd: appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="AllowZerolength" type="1" value="1"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="IMEMode" type="2" value="O"/> <od:fieldProperty name="IMESentenceMode" type="2" value="3"/> <od:fieldProperty name="UnicodeCompression" type="1" value="O"/> <od:fieldProperty name="GUID" type="9" value="YT36v1Rm8Uy3PraH2vNPQ=.=

"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd: restriction base="xsd: string"> <xsd: maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="accountnumber" minOccurs="O" od:jetType="double" od:sqlSType="float"

type="xsd:double"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1''/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="DecimalPlaces" type="2" value="255"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="GUID" type="9" value="2xDd/Tv9wUCKlxZNLE/wwg==

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"/> </xsd:appinfo> </xsd:annotation> </xsd:element> <xsd:element name="costcentercode" minOccurs="O" od:jetType="double" od:sqlSType="float"

type="xsd:double"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="DecimalPlaces" type="2" value="255"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="GUID" type="9" value="L7/ZfJyiqEy7sut5qX67Kg==

"/> </xsd:appinfo> </xsd:annotation> </xsd:element> <xsd:element name="debitamount" minOccurs="O" od:jetType="double" od:sqlSType="float"

type="xsd: double"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="DecimalPlaces" type="2" value="255"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="GUID" type="9" value="RmkYPCpjBkmglTrgsqGxJA==

</xsd:appinfo> </xsd:annotation> </xsd:element> <xsd:element name="creditamount" minOccurs="O" od:jetType="double" od:sqlSType="float"

type="xsd:double"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="DecimalPlaces" type="2" value="255"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="GUID" type="9" value="18RKO/Fw1E+Lp2hTUcLIIQ==

"/> </xsd:appinfo> </xsd:annotation> </xsd:element> <xsd:element name="payorcode" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar">

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<xsd: annotation> <xsd:appinfo> <od:fieldProperty name="ColumnWidth" type="3" value="-1"/> <od:fieldProperty name="ColumnOrder" type="3" value="O"/> <od:fieldProperty name="ColumnHidden" type="1" value="O"/> <od:fieldProperty name="Required" type="1" value="O"/> <od:fieldProperty name="AllowZerolength" type="1" value="1"/> <od:fieldProperty name="DisplayControl" type="3" value="109"/> <od:fieldProperty name="IMEMode" type="2" value="O"/> <od:fieldProperty name="IMESentenceMode" type="2" value="3"/> <od:fieldProperty name="UnicodeCompression" type="1" value="O"/> <od:fieldProperty name="GUID" type="9" value="LClhER+4JkOnipcDnXtHiA==

"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema>

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APPENDIX XXIX-APD PAYROLL VENDOR FILE SENT TO PROVIDER

<?xml version="1.0" encoding="UTF-8"?> <xsd:schema xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:od="urn:schemas-microsoft-

com:officedata"> <xsd:element name="dataroot"> <xsd:complexType> <xsd:sequence> <xsd:element ref="Vendor_File" minOccurs="O" maxOccurs="unbounded"/> </xsd:sequence> <xsd:attribute name="generated" type="xsd:dateTime"/> </xsd:complexType> </xsd:element> <xsd:element name="Vendor_File"> <xsd:annotation> <xsd:appinfo> <od:tableProperty name="Orientation" type="2" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:complexType> <xsd:sequence> <xsd:element name= "EMPLOYER_ID" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="TIN" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd: maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo>

http://www.w3.org/2001/XMLSchema

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</xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd: simpieType> </xsd:element> <xsd:element name="SORT_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDRESS_1" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="City" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd: appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="255"/> </xsd: restriction> </xsd:simpieType> </xsd:element> <xsd:element name="State" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType>

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<xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Zip" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd: appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="HAS_1099" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd: annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ROUTING_NUMBER" minOccurs="O" od:jetType="text"

od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ACCOUNT_NUMBER" minOccurs="O" od:jetType="text"

od:sqISType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType>

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<xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ACCT_TYPE_ID" minOccurs="O" od:jetType="text"

od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd: annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd: element> <xsd:element name="EMAIL_ADDRESS" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDRESS_2" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd: appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema>

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APPENDIX XXX-APD PAYROLL EMPLOYEE FILE SENT TO PROVIDER

<?xml version="1.0" encoding= "UTF-8"?> <xsd:schema xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:od="urn:schemas-microsoft-

com:officedata"> <xsd:element name="dataroot"> <xsd:complexType> <xsd: sequence> <xsd:element ref="Employees_File" minOccurs="O" maxOccurs="unbounded"/> </xsd: sequence> <xsd:attribute name="generated" type="xsd:dateTime"/> </xsd:complexType> </xsd:element> <xsd:element name="Employees_File"> <xsd:annotation> <xsd:appinfo> <od:tableProperty name="Orientation" type="2" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:complexType> <xsd:sequence> <xsd:element name="EMPLOYEE_ID" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="SSN" minOccurs="O" od:jetType="text" od:sqlSType= "nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="LAST_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name= "Required" type="1" value="O"/> </xsd:appinfo>

http://www.w3.org/2001/XMLSchema

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</xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="FIRST_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDRESS_1" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpieType> </xsd:element> <xsd:element name="City" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd :restriction> </xsd:simpleType> </xsd:element> <xsd:element name="State" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType>

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<xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Zip" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="TOTAL_ALLOWANCES" minOccurs="O"

od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base= "xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDITIONAL_AMOUNT" minOccurs="O"

od:sqlSType="nvarchar">

od:jetType="text" od:jetType="text"

<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd: appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd: string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="W4_EXEMPT" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType>

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<xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="W4_WHLD_TYPE_ID" minOccurs="O"

od:sqlSType="nvarchar">

od:jetType="text"

<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd: annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EMPLOYER_TAX" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ROUTING_NUMBER" minOccurs="O"

od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ACCOUNT_NUMBER" minOccurs="O"

od:sqISType="nvarchar">

od:jetType="text" od:jetType="text"

<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation>

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<xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ACCT_TYPE_ID" minOccurs="O" od:jetType="text"

od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EMAIL_ADDRESS" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EIC" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpieType> </xsd:element> <xsd:element name="MIDDLE_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType>

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<xsd:restriction base="xsd: string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd: simpieType> </xsd:element> <xsd:element name="ADDRESS_2" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema><?xml version="1.0" encoding="UTF-8"?> <xsd:schema xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:od="urn:schemas-microsoft-

com:officedata"> <xsd:element name="dataroot"> <xsd:complexType> <xsd:sequence> <xsd:element ref="Employees_File" minOccurs="O" maxOccurs="unbounded"/> </xsd:sequence> <xsd:attribute name= "generated" type="xsd:dateTime"/> </xsd:complexType> </xsd:element> <xsd:element name="Employees_File"> <xsd:annotation> <xsd:appinfo> <od:tableProperty name="Orientation" type="2" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:complexType> <xsd:sequence> <xsd:element name="EMPLOYEE_ID" minOccurs="O" od:jetType= "text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType>

http://www.w3.org/2001/XMLSchema

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</xsd:element> <xsd:element name="SSN" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="LAST_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="FIRST_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd: an notation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd: annotation> <xsd:simpleType> <xsd: restriction base="xsd: string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDRESS_1" minOccurs="O" od:jetType= "text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="City" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar">

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<xsd: annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="State" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Zip" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd: restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="TOTAL_ALLOWANCES" minOccurs="O"

od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDITIONAL_AMOUNT" minOccurs="O"

od:sqlSType="nvarchar">

od:jetType="text" od:jetType="text"

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<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="W4_EXEMPT" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="W4_WHLD_TYPE_! D" minOccurs="O"

od:sqlSType="nvarchar"> od:jetType="text"

<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd: simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EMPLOYER_TAX" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ROUTING_NUMBER" minOccurs="O"

od:sqlSType="nvarchar"> od:jetType="text"

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<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK ACCOUNT NUMBER" minOccurs="O"

od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name= "Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd: maxlength value= "255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="BANK_ACCT_TYPE_ID" minOccurs="O"

od:sqlSType="nvarchar">

od:jetType="text"

od:jetType="text"

<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EMAIL_ADDRESS" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd :simpleType> <xsd:restriction base="xsd: string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EIC" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar">

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<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="MIDDLE_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDRESS_2" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema>

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APPENDIX XXXI-APD PAYROLL EMPLOYERS FILE SENT TO PROVIDER

<?xml version="1.0" encoding="UTF-8"?> <xsd:schema xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:od="urn:schemas-microsoft-

com:officedata"> <xsd:element name="dataroot"> <xsd:complexType> <xsd:sequence> <xsd:element ref="Employers_File" minOccurs="O" maxOccurs ="unbounded"/> </xsd:sequence> <xsd:attribute name="generated" type="xsd:dateTime"/> </xsd:complexType> </xsd:element> <xsd:element name="Employers_File"> <xsd:annotation> <xsd:appinfo> <od:tableProperty name="Orientation" type="2" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:complexType> <xsd:sequence> <xsd:element name="EMPLOYER_ID" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="FIRST_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value= "O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpieType> <xsd:restriction base="xsd:string"> <xsd:maxLength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name= "LAST_NAME" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo>

http://www.w3.org/2001/XMLSchema

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</xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDRESS_1" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="CITY" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd: annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="STATE" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd: simpieType> <xsd:restriction base="xsd:string"> <xsd:maxlength value= "255"/> </xsd:restriction> </xsd:simpieType> </xsd:element> <xsd:element name="ZIP" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd: annotation> <xsd:simpleType>

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<xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="MEDICAID_NUMBER" minOccurs="O"

od:sqlSType="nvarchar">

od:jetType="text"

<xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type= "1" value="O"/> </xsd:appinfo> </xsd: annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EIN" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd: appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd: restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="SUI" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="SUI_RATE" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string">

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<xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="ADDRESS_2" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema>

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APPENDIX XXXII -APO PAYROLL INVOICE FILE SENT TO PROVIDER

<?xml version="1.0" encoding="UTF-8"?> <xsd:schema xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:od="urn:schemas-microsoft-

com:officedata"> <xsd:element name="dataroot"> <xsd:complexType> <xsd:sequence> <xsd:element ref="lnvoice_File" minOccurs ="O" maxOccurs= "unbounded"/> </xsd:sequence> <xsd:attribute name="generated" type="xsd:dateTime"/> </xsd:complexType> </xsd:element> <xsd:element name="lnvoice_File"> <xsd: annotation> <xsd:appinfo> <od:tableProperty name="Orientation" type="2" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:complexType> <xsd:sequence> <xsd:element name="EMPLOYEE_ID" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd: maxLength value="255"/> </xsd:restriction> </xsd:simpieType> </xsd:element> <xsd:element name="POST_DATE" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxLength value= "255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="INVOICE_DATE" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name= "Required" type="1" value= "O"/> </xsd: appinfo>

http://www.w3.org/2001/XMLSchema

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</xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="INVOICE_NUMBER" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="AMOUNT" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="DESCRIPTION" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema>

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APPENDIX XXXIII-APD PAYROLL TIMESHEET FILE SENT TO PROVIDER

<?xml version="1.0" encoding="UTF-8"?> <xsd:schema xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:od="urn:schemas-microsoft-

com:officedata"> <xsd:element name="dataroot"> <xsd:complexType> <xsd:sequence> <xsd:element ref="Timesheet_File" minOccurs="O" maxOccurs="unbounded"/> </xsd:sequence> <xsd:attribute name="generated" type="xsd:dateTime"/> </xsd:complexType> </xsd:element> <xsd:element name="Timesheet_File"> <xsd:annotation> <xsd:appinfo> <od:tableProperty name="Orientation" type="2" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:complexType> <xsd:sequence> <xsd:element name="type" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="EMPLOYEE_ID" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd: appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="WAGE_TYPE" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo>

http://www.w3.org/2001/XMLSchema

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</xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="PAYROLL_DATE" minOccurs= "O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name="WEEK_WORKED" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd: appinfo> <od:fieldProperty name="Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd:string"> <xsd: maxlength value= "255"/> </xsd:restriction> </xsd:simpleType> </xsd:element> <xsd:element name= "HOURS" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name= "Required" type="1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType> <xsd:restriction base="xsd: string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> <xsd:element name="Rate" minOccurs="O" od:jetType="text" od:sqlSType="nvarchar"> <xsd:annotation> <xsd:appinfo> <od:fieldProperty name="Required" type= "1" value="O"/> </xsd:appinfo> </xsd:annotation> <xsd:simpleType>

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<xsd:restriction base="xsd:string"> <xsd:maxlength value="255"/> </xsd: restriction> </xsd:simpleType> </xsd:element> </xsd:sequence> </xsd:complexType> </xsd:element> </xsd:schema>

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APPENDIX XXXIV -APO PAYROLL CONTROL FILE FILE SENT TO PROVIDER

File Records Amount Employees File 1319 Employers File 999 Invoice File 521 416913.7 Timesheet File 3059 912375.7 Vendor File 465

xxxiv - /& ~ n — * ! ELÄINLÄÄKINTÖLAITOS

XXXIV. Westward Expansion

Parents,EarlyYears and Learningdctacourse.weebly.com/uploads/1/0/7/5/10757374/...Appendix 1 Acknowledgements 41 Appendix 2 Manager and participant agreement 43 Appendix 3 References

XXXIV PEREGRINACIÓN

Appendix K Guidance: Participant-directed Services

XXXIV - rdu.unc.edu.ar

Appendix C: Participant Services - Maryland · Appendix C: 5 credentialed, licensed, or certified in an area related to the specific type of technology needed. The evaluation

XXXIV Campionato

XXXIV Escola d'Estiu

XXXIV Reunión Anual

Inglés v (Xxxiv)

Appendix E: Participant Direction of Services · Support Broker services are an optional service and not required. The FMS are designed to assist the participant with employer and

Appendix C: Participant Services...COMMUNITY PATHWAYS WAIVER – Appendix C June 18, 2018 Page 2 of 190 State: Effective Date Appendix C: 2 c. Community Development Services d. Environmental

Plantilla XXXIV

Appendix-XXXIV to XXXVII E.C. dated 03.07.2017/14-15.07 ...du.ac.in/du/uploads/executive_council/22092017/34 to 37_ Appendix... · Divide and Conquer: more sc-tfiing merge sort quick

APPENDIX - HOW TO BECOME AN EXCHANGE PARTICIPANT …€¦ · · 2017-08-12How to Become An Exchange Participant ... A. Stock Exchange Participant 5 B ... (subject to changes without

The Rural Research Capacity Building Program 2009 Final report for research project ... · 2018-11-22 · Appendix 1 - Participant Information Sheet 34 Appendix 2 ... The funding

Appendix C: Participant Services€¦ · Appendix C-1/C-3: Summary of Services Covered and Services Specifications C-1-a. Waiver Services Summary. Appendix C-3 sets forth the specifications

Appendix 1 Physician Survey Questionnaire...1 20 September 2013 Appendix 1 Physician Survey Questionnaire Overview – survey flow 1. Participant profiling and screening 2. Implicit

Appendix B: Participant Access and Eligibility HCBS Waiver ... · Appendix B-3: 2 c. Reserved Waiver Capacity. The State may reserve a portion of the participant capacity of the waiver

XXXIV, 2 (1984)

The Early Church: Acts 1-12 Appendix 1. Participant Handouts

WORK STRESS IN AUSTRALIAN PROFESSIONALS: … G Interview Questionnaire 279 Appendix H Ethics Approval for Study 3 284 Appendix I Participant Information Sheet 288 Appendix J Fatigue

XXXIV - XXXV - XXXVI

Accidental Company Secretary® - Microsoft · Accidental Company Secretary® Participant notes ... See Appendix 1 for a sample notice agenda of a directors’ meeting and Appendix

Appendix K. Participant feedback letters...Appendix K. Participant feedback letters MRC Human Nutrition Research Table of contents Pages Dietary feedback letter for a child who is

Appendix A WIC Participant Online Technology Survey Report ... Document Library/ResearchandData...WIC Participant Online Technology Survey from November 7, 2011 to December 9, 2011,

National School Lunch Program, Food Production Records, Participant Guide€¦ · Participant Guide (PG) Appendix Pencils/pens Blank FPRs Calculators Module Estimated Time Module

APPENDIX A — PARTICIPANT RESPONSESrileybrockington.ca/wp-content/uploads/2016/12/Doc... · APPENDIX A — PARTICIPANT RESPONSES Appendix A — Participant Responses Note: This appendix

Jocs florals XXXIV