
| My Voice, My Choice Forms and Documents | |||
| 1. Agreements | |||
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Fiscal Employer Agent Services Agreement | 152K | |
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Participant - Community Support Worker Employment Agreement | 152K | |
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Participant - Independent Contractor Agreement | 154K | |
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Participant - Support Broker Employment Agreement | 149K | |
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Participant - Agency Community Support Worker Employment Agreement | 176K | |
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Medicaid - Community Support Worker Agreement | 110K | |
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Medicaid - Support Broker Agreement | 80K | |
| 2. Employee Enrollment Packet | |||
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Employee Enrollment Instructions | 1MB | |
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Employee Enrollment Packet | 8MB | |
| 3. Time Sheets, Mileage, and Vendor Payments | |||
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Time Sheet Form | 215K | |
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Time Sheet Instructions | 133K | |
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Vendor Payment form | 159K | |
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Vendor Payment Instructions | 129K | |
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Mileage Reimbursement Form | 161K | |
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Mileage Reimbursement Instructions | 123K | |
| 4. Other | |||
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Status Change Form | 113K | |
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W4 | 50K | |
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FEA Termination Form | 129K | |
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Pay Calendar | 211K | |
| Children's Services, Family-Directed Services Option | |||
| 1. Agreements | |||
> |
Fiscal Employer Agent Services Agreement | 151K | |
> |
Participant - Community Support Worker Employment Agreement | 152K | |
> |
Participant - Independent Contractor Agreement | 154K | |
> |
Participant - Support Broker Employment Agreement | 149K | |
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Participant - Agency Community Support Worker Employment Agreement | 176K | |
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Medicaid - Community Support Worker Agreement | 110K | |
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Medicaid - Support Broker Agreement | 80K | |
| 2. Employee Enrollment Packet | |||
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Employee Enrollment Instructions | 1MB | |
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Employee Enrollment Packet | 7MB | |
| 3. Time Sheets, Mileage, and Vendor Payments | |||
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Time Sheet Form | 125K | |
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Time Sheet Instructions | 108K | |
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Vendor Payment form | 136K | |
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Vendor Payment Instructions | 106K | |
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Mileage Reimbursement Form | 113K | |
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Mileage Reimbursement Instructions | 25K | |
| 4. Other | |||
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Status Change Form | 93 K | |
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W4 | 50K | |
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FEA Termination Form | 102K | |
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Pay Calendar | 211K | |