Invoice Template 

Invoice Template 

1. Invoice Header 

• Title: “Invoice” 

• Unique invoice number (e.g. RW-001, date-based, or sequential) 

• Date of submission 

1. Provider Information 

• Full name of the home sharing provider (or agency if applicable) 

• Address 

• Phone number and/or email 

1. Recipient Information (Bill To) 

• Name of the individual receiving support (optional depending on privacy policies) 

• Name of contracting agency, family, or funder 

• Contact person and address (if available) 

1. Service Details 

• Include date(s) of service 

• Short, clear descriptions (e.g. “Daytime respite shift,” “Overnight coverage,” “Weekend support”) 

• Rate per hour or flat daily rate 

• Subtotal and total 

1. Invoice Total 

• Subtotal 

• Any applicable taxes (if GST is required) 

• Final total 

1. Payment Instructions 

• Preferred payment method (e.g. e-transfer, cheque) 

• Payment terms (e.g. “Payment due within 14 days”) 

• Name and banking/email info for payment 

1. Signature (optional) 

• A signed declaration line such as:
  “I confirm the services listed were delivered as stated.” 

Optional Add-ons: 

• Hours signed off by the family or coordinator 

• WorkSafeBC account number (if relevant) 

• Attach timesheet or log if required by the payer 

Example Respite Invoice