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3. Assist the provider in completing the Warrant Status Change Request form by guiding themto: a. Select “General Warrant”; b. Enter the Warrant number, net amount, and issue date obtained from IRIS; c. Select or have the provider select the applicable reason for the stop payment; d. Enter or have the provider enter their printed name as the Payee Name; e. Enter or have the provider enter their mailing address in the Payee address, city, state and zip code; and f. Have the provider complete the “Payee Signature” section ensuring they sign it and enter in the date and their telephone number; 4. Access the Integrated Child Care Information System (ICCIS) to ensure the mailing address listed on the Warrant Status Change Request form is the same as listed in ICCIS. If different, have the provider complete a new State of Alaska Substitute Form W-9 and notify the Designee of the address change; 5. Document receipt of the Warrant Status Change Request form in a case note in the provider’s case in ICCIS using subject heading: Stop Pay Request Received. The body of the case note includes the date the request was received by the CCPO, the service month, and amount;

6. Cancel the original payment transaction in IRIS by completing all required actions and coordination in ICCIS and IRIS;

7. Reissue the payment to the provider in ICCIS;

8. Document in a case note in the provider’s case in ICCIS using subject heading: Stop Pay Completed, detailing the transaction to include the service month(s), amount, reason for the stop pay; and reference the old warrant number and dateissued;

9. Contact the provider and Designee advising the process has been completed; and

10. Match the Warrant Status Change Request form and Request for Payment CC78 and file in the provider’s request for payment file.