Follow the steps to accurately complete your time sheet online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your name and the last four digits of your social security number in the designated fields.
3. Enter the Veteran's name accurately in the provided space.
4. Indicate whether the Veteran was admitted to a hospital or nursing home during the specified dates. If 'Yes,' fill in the dates of admission and discharge.
5. Select the appropriate pay period date range from the provided options.
6. For each day of service, enter the time in and time out along with hours and minutes worked. Specify the type of hour, either Personal Care (PC) or Other (O).
7. Document your hourly pay rate in the designated field.
8. Calculate and fill in the total hours worked for the current pay period.
9. Review all entries for accuracy to ensure the information provided is true and complete.
10. Sign and date the form in the employee signature section, then have the employer sign and date it as well.
11. Print the employer's name in the appropriate field.
12. Save your changes, then proceed to download, print, or share the completed time sheet as needed.

Take action now and complete your Veterans Options For Independence Choice Empowerment Time Sheet online.