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STAVROS FISCAL INTERMEDIARY SERVICES Payroll Period / / Through Saturday P.O BOX 2130, Amherst, MA 010042130 Tel: (413) 2566692, (800) 4421185 Fax: (888) 7734281, (413) 2563849 / / Employer Information.

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How to fill out the Stavros Forms online

Filling out the Stavros Forms online is an essential task for managing payroll and providing accurate information related to personal care assistance services. This guide will walk you through each section and field of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to complete the Stavros Forms with ease.

  1. Click the 'Get Form' button to access the Stavros Forms. This action will open the form in a digital format for you to fill out.
  2. Begin by entering your employer information, including the name, address, city, state, zip code, and contact numbers. If there are any changes to your address, telephone, or email, check the box provided.
  3. Next, input the Personal Care Attendant (PCA) information such as their name, Social Security Number (SSN), and contact details. Ensure accuracy in this section for correct record-keeping.
  4. Fill in the payroll period dates by indicating the start and end dates through Saturday. This allows for accurate tracking of hours worked.
  5. In the weekly hours section, record the times for each day of the week including start and end times. Break these down into day/evening and night hours, and ensure to select AM or PM appropriately.
  6. Review the total hours worked for each week to validate correctness. Add total hours for day/evening and night shifts ensuring the sum is accurate.
  7. Affix your signature at the end of the form to certify that you have received or provided MassHealth PCA services as indicated. Make sure to include the date next to your signature.
  8. Once all fields are filled accurately, save your changes. You can also choose to download, print, or share the form according to your needs.

Start completing the Stavros Forms online today for efficient document management.

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