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  • La Oaas-pf-11-015 2011

Get La Oaas-pf-11-015 2011

: Week Of: Day Of Week: Date→ 1st Arrival Time W/ Initials→ 1st Departure Time W/ Initials→ 2nd Arrival Time W/ Initials→ 2nd Departure Time W/ Initials→ Through: Sunday Monday Tuesday Wednesday Thursday Friday Saturday  Indicate Task Completed Each Day W/Initials in Column for the Type PAS provided  ↓ Tasks ↓ F O R 1 F O R 2 F O R 3 A M P M F O R 1 F O R 2 F O R 3 A M P M F O R 1 F O R 2 F O R 3 A M P M F O R 1 F O R 2 F O R 3 A M P M F O R 1 F.

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How to fill out the LA OAAS-PF-11-015 online

Filling out the LA OAAS-PF-11-015 form can be straightforward when you follow the correct procedures. This guide aims to provide clear, step-by-step instructions to help users effectively complete the online form for the documentation of Community Choices Waiver services.

Follow the steps to accurately complete your form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the provider agency name in the designated field.
  3. Input the direct service worker's name clearly in the respective section.
  4. Fill in the recipient's name as it appears on their records.
  5. Enter the recipient's date of birth to ensure accurate identification.
  6. Specify the week of service by entering the starting date and the ending date in the provided fields.
  7. Document the day of the week and enter the specific dates for service each day.
  8. Record the arrival and departure times for each service session, including signed initials for verification.
  9. Indicate the tasks completed each day by placing initials in the appropriate columns for the type of service provided.
  10. At the end of each day, enter the total number of hours worked in the daily total hours field.
  11. Calculate the weekly total hours for services provided and fill in this information accordingly.
  12. Ensure that the required signatures are collected at the end of the week from the recipient or their representative and from the direct service worker.
  13. If applicable, the supervisor's review signature can be recorded in the optional section.
  14. Complete any additional descriptions, comments, or notes about services provided on the second page of the form.
  15. Once all information is correctly filled out, save changes, download, print, or share the completed form as needed.

Start filling out your LA OAAS-PF-11-015 form online today to ensure accurate record-keeping for Community Choices Waiver services.

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Get LA OAAS-PF-11-015
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
LA OAAS-PF-11-015
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