Steps to Send An Authorization

Step 1: Create a DoR Authorization for Comprehensive Vocational Evaluation

• Rate: $198 per day for individual services - Comprehensive Vocational Evaluation
• Procedure Code: 49CRPid
• Aware Vendor: #92407
• Location: #0092407
• Maximum allowable lodging in Orange County and Inland Empire is $90.00/night + taxes
• Maximum allowable lodging in San Diego County is $125.00/night + taxes
• Aware Service Provider Lodging Code: 165C
• Aware Service Provider Mileage Code for Private Vehicles: 167A
• Aware Service Provider Meals Code: 165D
• Aware Service Provider Other Code: 165E
• Aware Service Provider Parking Code: 165A

Create a DoR Authorization for Situational Assessment

• Rate: $48 per hour for individual services – Situational Assessment
• Procedure Code: 47CRPih
• Aware Vendor: #92407
• Location: #0092407

Clients visiting Cal State San Bernardino facility for services:

Authorization will need to include $5 per day for parking. The Institute for Research, Assessment & Professional Development is located in Room CE-120, College of Education Building on the California State University San Bernardino campus. Purchase the parking permit at the main Parking Kiosk, located at 5500 University Parkway. The East Parking Structure is located adjacent to the College of Education Building. See campus map for directions.

Step 2: Complete the appropriate referral form:

Comprehensive Voc. Eval. Referral Form

Situational Assessment Referral Form

Save the Form as a word document on your local computer.

Sample CVE and SA Authorization forms:

• CVE Authorization for new intakes

• CVE Authorization for TPP

• CVE Authorization for new IPE established client

• SA Authorization for new client

Travel Calculations: 

DOR Travel Authorization Information (2018)

Step 3: Submit completed Authorization, Referral Form, and Releases of Information via secure fax or e-mail (DO NOT MAIL ANY DOCUMENTS TO CSUSB).

E-mail: TheInstitute@csusb.edu - if you are unable to connect to your e-mail system through this link, copy & paste the e-mail address into your e-mail system.

Be sure to attach any relevant medical/psychological records to the e-mail with your Forms.

In lieu of e-mail you may also fax to the number listed below.

Secure Fax: 909-922-7580