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State of Illinois Department of Human Services - Division of Rehabilitation Services PERSONAL ASSISTANT EVALUATION Customer: Personal Assistant (PA): PA Address: PA Phone Number(s): Please place a.

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How to fill out the Il488 1049 Form online

Filling out the Il488 1049 Form online is a straightforward process that allows you to evaluate the performance of your personal assistant. This guide provides step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to fill out the Il488 1049 Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your browser.
  2. Begin by entering the customer’s name in the designated field. Make sure the information is spelled correctly.
  3. Fill in the personal assistant's information, including their name, address, and phone number.
  4. Evaluate the accuracy of work by selecting one of the provided options. Use a check mark to indicate your assessment.
  5. Continue assessing the care of the working area, use of working time, attendance, and attitude towards consumer by selecting the appropriate responses from the options given.
  6. Answer the questions labeled A through F using 'Yes' or 'No'. Provide explanations in the comments section where necessary.
  7. In the comments section, offer any additional insights or explanations regarding your assessments or answers.
  8. Sign the form in the designated customer signature area and date it.
  9. If applicable, have a parent, guardian, or witness sign and date the form as well.
  10. Once all fields are completed, save changes, and choose to download, print, or share your filled-out form as needed.

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