Get Navy Efmp Respite Care Attendance Sheet - Crs Ymca

The Navy EFMP Respite Care Attendance Sheet is essential for documenting the care provided to eligible family members. This guide will help you fill out the form accurately and ensure all necessary details are included for a smooth processing experience.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the 'Month of Care' and 'Year of Care' sections at the top of the form. This indicates the specific month and year for which you are documenting care.
3. Enter your 'Family ID #' and 'Sponsor Name.' This information ties the care provided to your family within the system.
4. Provide the 'Provider ID #' and 'Provider’s Name.' This ensures that the correct provider is credited for the services rendered.
5. In the 'Child Information' section, list each child receiving care. For each child, include their name, age, EFM category, and the provider rate for care.
6. Indicate the number of hours care was provided each day for each child in the corresponding boxes. Ensure you accurately reflect the care dates.
7. Verify that the total hours do not exceed the maximum combined family rate of $45 per hour, and ensure that the program's limit of 40 hours per month is respected.
8. Have the provider sign and date the form in the designated 'Provider Signature' section to confirm that the information is accurate.
9. Thus, the sponsor or legal guardian must also sign and date the form, certifying that the details provided are true and accurate.
10. Complete the 'CCR&R Verification' section. This may require additional validation, depending on your provider.
11. Finally, review the entire form for completeness, save your changes, and utilize your options to download, print, or share the form as needed.

Complete your documents online to ensure efficient processing.