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STAVROS PORTAL USER AGREEMENT You have selected to utilize the Stavros Portal to submit your PCA timesheets to the Stavros Fiscal Intermediary for processing. You will be assigned a temporary password.

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How to use or fill out the Forms - Stavros Fiscal Intermediary online

This guide provides clear instructions on how to fill out the Forms - Stavros Fiscal Intermediary online. Follow the steps below to ensure a smooth and successful submission process for your PCA timesheets.

Follow the steps to fill out the Forms - Stavros Fiscal Intermediary online.

  1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your printed name in the designated field labeled 'Consumer Printed Name.' This should be your full legal name.
  3. Next, locate the 'Consumer Email' field and input your email address. Ensure that this email is unique and not shared with others.
  4. Proceed to the 'Consumer Signature' section where you will sign electronically. Ensure that you are using the same name you provided earlier.
  5. In the section for 'Surrogate Printed Name,' enter the full name of the surrogate, if applicable.
  6. Fill out the 'Surrogate Email' field with the surrogate's email address.
  7. Sign electronically in the 'Surrogate Signature' area and date your signature.
  8. If applicable, fill out the 'PCA Printed Name' section with the personal care assistant’s full name.
  9. Complete the 'PCA Email' field with the PCA’s email address.
  10. In the 'PCA Signature' area, provide your electronic signature and the date.
  11. Review all entered information for accuracy. Once verified, you can choose to save the changes, download, print, or share the completed form.

Complete your Forms - Stavros Fiscal Intermediary online today to ensure your PCA timesheets are processed efficiently.

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