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 - PAS Pennsylvania Consumer/Employer Forms
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This document provides an overview of each form found in the consumer application.
> Download - PAS Consumer/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.
> Download - TeleForm Payroll Schedule
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This form identifies the deadlines for timesheet submissions and for assistant payments over each payroll period.
> Download - Tele-PAY™ Payroll Schedule
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This form shows the deadlines for consumers and assistants using the Tele-PAY™ system call in/out system and shows payment dates for assistants.
> Download - 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
