Get Instructions For The Dcw Termination Form - Pcg Public Partnerships

Filling out the Instructions For The DCW Termination Form is a critical process for common law employers. This guide provides step-by-step instructions to assist in completing this form online accurately and efficiently.

Follow the steps to ensure successful completion of the form.

1. Click ‘Get Form’ button to access the DCW Termination Form and open it in your document editor.
2. Indicate the type of termination by checking the appropriate box to specify whether the qualified direct care worker (DCW) voluntarily stopped working or was terminated involuntarily.
3. Provide participant information by printing or typing the name, identification number, address, and phone number of the participant in the designated fields.
4. Fill in the qualified DCW information with their name, identification number, address, and phone number as required.
5. Report the termination date in the specified field, ensuring accuracy in the date format.
6. Complete the employment status section by selecting either part-time or full-time and indicating the usual number of hours worked per day and days worked per week.
7. Describe the reason for separation from employment in detail within the provided space, choosing from the listed reasons or providing additional notes as necessary.
8. Print or type the common law employer's name in the relevant area.
9. Ensure that the common law employer signs and dates the form in the designated signature line.
10. Once the form is completed and signed, submit it to Public Partnerships, LLC within 24 hours of the termination, including mailing it to the address provided.

Complete the DCW Termination Form online today to ensure timely processing.