Sudan Experience Project: Interviewer Record

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This invoice is to be filled out and submitted to the SEP interview coordinator only upon completion of (1) executive summary of interview; and (2) edits to the interview transcript. This invoice should be submitted electronically along with these materials. Payment will only be processed once these materials are received by the SEP interview coordinator. Any invoice submitted prior to receipt of these materials will be disregarded! It is the responsibility of the interviewer to ensure this invoice is submitted!

Interviewer Name:___________________________________

Interview Information:
Participant Name:_________________________
Date of Interview:________________________
Number of Tapes:_____________________

*Interviewer information:
SSN#:____________________________________________
Address: __________________________________________
__________________________________________
Telephones: (H)___________________(W)___________________
E-mail: __________________________

*Please note this field only needs to be completed when the interviewer submits their first invoice. After at least one invoice has been submitted, the interviewer is no longer required to complete this field.

APPROVAL FOR PAYMENT (ADST USE ONLY)

Order taken by (print):__________________________________

Date & Signature:_____________________________________

Payment Amount:_____________________________________