Forms

2023 Payroll Calendar (PDF)

2023 HOLIDAY SCHEDULE STAFF (PDF)

2023 HOLIDAY SCHEDULE FIELD EMPLOYEES (PDF)

2023 SINGLE CARE CDS Timesheet (PDF)

2023 SINGLE SENIORS Timesheet (PDF)

2023 SINGLE VETERANS Timesheet (PDF)

Completing The Timesheet Instructions

Direct Deposit Authorization Agreement (PDF)

Mileage & Expense Reimbursement Form $0.55 (PDF)

PDMS Mileage Reimbursement Form (PDF)

Environmental Modifications Pre-Survey Form (PDF)
Environmental Modifications Pre-Survey Form Spanish (PDF)
Family Support Information (PDF)
Family Support Information, Spanish (PDF)

Decision Making Options (PDF)
Decision Making Options Spanish (PDF)
Medicaid Guide (PDF)
Medicaid Guide Spanish (PDF)
Project Services Needs/Wait List Guide (PDF)
Project Services Needs/Wait List Guide Spanish (PDF)
Social Security Guide (PDF)
Social Security Guide Spanish (PDF)
Transition Planning Checklist with Healthcare (PDF)

BDS: Why Should Individuals with Developmental Disabilities Apply for Medicaid? (PDF)

Medicaid Information and Link (PDF)