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- Veterans Options For Independence Choice Empowerment Time Sheet 2015
Get Veterans Options For Independence Choice Empowerment Time Sheet 2015-2024
Was the Veteran admitted to a hospital or nursing home during any of these dates? Yes No If YES, please indicate the dates the Veteran was admitted to and discharged from the hospital or nursing home * PERSONAL CARE SERVICES CANNOT BE PAID IF THE PARTICIPANT IS IN A HOSPITAL OR NURSING HOME. Please Check Pay Period date range: Time In Service Date Hours Minutes Hour Type (Personal Care-PC, or Other- O) AM PM Time Out Hours Minutes AM PM Hourl.
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