Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to access the Stavrosfi Org form and open it in your preferred online editor.
2. Begin by filling in the payroll period section. Enter the relevant start and end dates for the payroll period, typically from Sunday through Saturday.
3. Complete the employer information section. Provide details such as the employer's name, address, and contact information, including phone numbers and email.
4. Move on to the PCA information section. Fill in the PCA's name, address, phone number, and email. Ensure all details are correct, especially the Social Security Number (SSN) for verification purposes.
5. Document the weekly hours by entering the time in and time out for each day of the week, ensuring to specify AM or PM accurately. Include total hours worked during day/evening and night shifts.
6. Review and validate the information provided. Ensure all required fields are filled correctly and any 'new address' changes are noted as necessary.
7. Finally, sign and date the form as the employer or surrogate. By signing, you acknowledge the accuracy of the information provided and certify the receipt of MassHealth PCA services.
8. After filling out the form, save your changes. You can choose to download, print, or share the filled form as needed.

Complete your Stavrosfi Org document online today for accurate payroll processing.