Pennsylvania
Employer Resources
These forms are designed to support you as an employer and consumer of services.
- Employer Guide
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This document is a practical list of suggestions on how to hire, evaluate and terminate an employee.
> Download - Attendant Care Assets and Expenses Documentation
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This form identifies the assets and expenses a JEVS intake coordinator will need to review with the consumer to determine if they are eligible for the Attendant Care program.
> Download - Participant/Employer Application
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Use this form to become an employer in the commonwealth of Pennsylvania and to enroll in JEVS SFI Personal Assistance Services. For help completing this application watch the Participant/Employer Application Video.
> Download - 2011 TeleForm Payroll Schedule
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This form identifies the deadlines for timesheet submissions and and shows payment dates for direct care workers over each payroll period.
> Download
2012 TeleForm Payroll Schedule
This form identifies the deadlines for timesheet submissions and shows payment dates for direct care workers over each payroll period.
- 2011 Tele-PAY™ Payroll Schedule
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This form shows the beginning and end dates of the pay period for using the Tele-PAY™ call in/out system and shows payment dates for direct care workers.
> Download
2012 Tele-PAY™ Payroll Schedule
This form shows the deadlines for participants and direct care workers using the Tele-PAY™ call in/out system and shows payment dates for direct care workers.
- TeleForm Instructions
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This provides an example of how to fill out a TeleForm.
> Download - Tele-PAY Registration Letter
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This form assists the consumer/employer and assistant in the Tele-PAY™ registration process.
> Download - Notice of Discontinued Employment
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This form should be completed by the consumer and/or attendant upon termination of the employment agreement. Use it to document the reason for the attendant's discharge or resignation.
> Download
