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CDS Program Forms

Employment Documentation:
	•	Job Description -- PCA Choice Staff
	•	Job Description -- EOR/FSE Staff
	•	Incident-Accident Report
	•	Employee Performance Review
	•	Notice of Unsatisfactory Performance
	•	Status Change Form -- PCA Choice Staff
	•	Status Change Form -- EOR/FSE Staff
 
Personal Support:
	•	Personal Support Hourly Summary 
	•	Timesheet
	•	Respite Timesheet Summary
	•	Respite (Hourly) Timesheet
 
CSG, FSG and miscellaneous county-funded programs:
	•	Timesheet Summary for CSG, FSG and misc. county-funded programs 
	•	Timesheet
	•	Claim Form for Payments and Reimbursements
 
Consumer Directed Community Supports (CDCS):
	•	Agency with Choice Timesheet Summary (12% payroll fee) 
	•	CHECKBOOK Agency with Choice Timesheet Summary 
	•	Timesheet
	•	Respite (Hourly) Timesheet
	•	Claim Form for Payments and Reimbursements
	•	Mileage Reimbursement
 
PCA Choice:
	•	PCA Choice Timesheet Summary
	•	PCA Time and Activity Documentation
http://www.mrciworksource.org/documents/EmployeeJobDescription_PCA.pdfhttp://www.mrciworksource.org/documents/EmployeeJobDescription_EOR-FSE.pdfhttp://www.mrciworksource.org/documents/Incident-Accident_Report.pdfhttp://www.mrciworksource.org/documents/EmployeePerformanceReview.pdfhttp://www.mrciworksource.org/documents/NoticeofUnsatisfactoryPerformance.pdfhttp://www.mrciworksource.org/documents/EmployeeStatusChangeForm_PCA.pdfhttp://www.mrciworksource.org/documents/EmployeeStatusChangeForm_EOR-FSE.pdfhttp://www.mrciworksource.org/documents/PersonalSupportHourlyTimesheetSummary.pdfhttp://www.mrciworksource.org/documents/Timesheet_000.pdfhttp://www.mrciworksource.org/documents/RespiteTimesheetSummary.pdfhttp://www.mrciworksource.org/documents/Respite-HOURLY_Timesheet.pdfhttp://www.mrciworksource.org/documents/CSG_etc_(chck_bk_and_non)_timesheet_summary--ANY_COUNTY.pdfhttp://www.mrciworksource.org/documents/CSG_etc_(chck_bk_and_non)_timesheet_summary--ANY_COUNTY.pdfhttp://www.mrciworksource.org/documents/Timesheet_000.pdfhttp://www.mrciworksource.org/documents/Claim%20Form%20for%20Payments%20and%20Reimbursements.pdfhttp://www.mrciworksource.org/documents/12PctAwCTimesheetSummary.pdfhttp://www.mrciworksource.org/documents/2008CDCScheckbookTimesheetSummary.pdfhttp://www.mrciworksource.org/documents/Timesheet_000.pdfhttp://www.mrciworksource.org/documents/Respite-HOURLY_timesheet_000.pdfhttp://www.mrciworksource.org/documents/Claim%20Form%20for%20Payments%20and%20Reimbursements.pdfhttp://www.mrciworksource.org/documents/MileageReimbursement_001.pdfhttp://www.mrciworksource.org/documents/PCA_ChoiceTimesheetSummary.pdfhttp://www.mrciworksource.org/documents/PCA_TimeAndActivityDocumentation.pdfshapeimage_2_link_0shapeimage_2_link_1shapeimage_2_link_2shapeimage_2_link_3shapeimage_2_link_4shapeimage_2_link_5shapeimage_2_link_6shapeimage_2_link_7shapeimage_2_link_8shapeimage_2_link_9shapeimage_2_link_10shapeimage_2_link_11shapeimage_2_link_12shapeimage_2_link_13shapeimage_2_link_14shapeimage_2_link_15shapeimage_2_link_16shapeimage_2_link_17shapeimage_2_link_18shapeimage_2_link_19shapeimage_2_link_20shapeimage_2_link_21shapeimage_2_link_22

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Creating Innovative and Genuine Opportunities For People with Disabilities or Disadvantages to Support their Community Participation