FV Codes:
FV1 = Friendly Visit
FV3 = Errands
FV4 = Spiritual
FV5 = Phone Call
FV6 = Outing
FV7 = Med Transport
FV9 = Other
PN Codes:
PN1 = Spiritual Care/Prayer
PN2 = Listening/Emotional Support
PN3 = Health Ed/Nutrition/Safety/Meds/Fitness/Other
PN7 = Med Transport
PN8 = Errands
PN9 = Office/Meetings
PN10 = Meetings
PN11 = Other
CF Codes:
CF1 = Respite
CF3 = Transport
CF4 = Spiritual Care
CF6 = Phone Call
CF8 = Transportation
CF9 = Listening/Emotional Support
CF16 = Other
Covid-19 Transport/Assistance:
MC1 = Covid-19 Vaccine Assistance/Transport
MC2 = Covid-19 Testing Transport
MC3 = Covid-19 Booster Assistance/Transport
Please complete the form before the 7th of each month as that is RSVP’s deadline for reimbursement. Odometer readings are only necessary if you live in Essex Co. and are requesting reimbursement for Medical Transport mileage. Please call with questions – 518-523-5585
