Invoice
Your business name
Address
Phone or email
- Invoice no.
- Date
Student: …
| Service | Date(s) | Qty | Amount |
|---|---|---|---|
| Description | 1 | $0.00 |
Total$0.00
ESA invoice builder
In Arizona, Alabama, Indiana, North Carolina, South Carolina and New Hampshire, families pay providers through ClassWallet by submitting your invoice, and incomplete invoices are rejected. This builds one with every field the state requires, and checks it as you type.
New Hampshire rules from the EFA Provider Handbook (August 2025). Switch states in the form. Nothing you type leaves your browser.
ESA reviewer checklist
Each line updates as you fill in the invoice.
- Provider name, address and contact
- Invoice date and number
- Student (and parent) name
- Itemized services with dates of service
Not registered yet? Read the vendor guide for Arizona, Alabama, Indiana, North Carolina, South Carolina or New Hampshire.