Purchase of Service Forms

Forms for Contracted Services Partners

Blank Billing Forms

Blank Billing Forms Chore

Manual Billing Procedure

Blank Billing Forms  –  REBILL


Potential Contracted Services Providers

Please contact Jenna Blamer, Contracted Services Coordinator, at 231-733-3524, 231-739-5858, or toll-free, 1-800-442-0054, or [email protected], for more information on becoming a contracted service provider.

Application Forms for Potential Evidence Based Training Partner

Senior Resources of West Michigan, an area agency on aging, is seeking bids for the purchase of Tier III Evidence Based health programs and for caregiver education sessions, including but not limited to: Matter of Balance, Diabetes PATH, Arthritis Foundation exercises, Enhanced Fitness, & Caregiver Trainings. Trainings are to be held during fiscal year 10/1/2020-9/30/2021 for persons 60 years of age and older residing within Muskegon, Oceana, and Ottawa counties.   Interested organizations may obtain specifics to bid and service standards at: https://seniorresourceswmi.org/purchase-of-service-forms/Deadline for submission is by 4 pm Monday, August 24, 2021 to: Karla Betten, Grants Manager, Senior Resources of West Michigan, 560 Seminole Road, Norton Shores, MI 49444 or to: [email protected].

Request for Bid Information & Standards 2021

Request for Bids Required Forms

Tier III Approved Evidence Based Programs

*Contract Application files may be large in size. Please allow a few minutes for file to completely download before navigating. More or less time may be required depending on connection speeds.

*Contract Application files are in PDF format. Please ensure that you have downloaded the latest version of a compatible PDF reader with flash player. A PDF reader without compatible flash player will prevent files from being properly displayed.

Contact for Evidence Based Training PartnersKarla Betten, Grant Services Manager

Phone: 231-733-3593, 231-739-5858 or Toll Free: 1-800-442-0054


[email protected]



Tanglewood Park
560 Seminole Road
Muskegon, MI 49444



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