Follow the steps to complete the form online:

1. Click the ‘Get Form’ button to access and open the LA OAAS-PF-10-010 form in your preferred editor.
2. Begin by entering the provider agency name in the designated field at the top of the form. Ensure you spell it correctly to avoid any issues.
3. Fill in the direct service worker’s name. This section requires the worker’s full name to ensure proper identification.
4. Input the participant's name in the next field. This is the individual receiving services and must match official documentation.
5. Record the week of service in the appropriate space, specifying both the starting and ending dates for clarity.
6. For each day of the week, note the arrival and departure times along with the initials of the service worker. This is critical for tracking the hours worked.
7. Indicate the tasks completed each day by using initials next to the relevant tasks in the list provided. Ensure accuracy in what was accomplished.
8. Calculate and enter the daily total number of hours worked, followed by the weekly total number of hours for long-term personal care services at the end of the week.
9. Obtain the necessary signatures. The participant, their designated personal representative or legal representative, and the direct service worker need to sign and date the form in their respective sections.
10. If needed, use page 2 of the form for additional descriptions and comments regarding daily services and supports. Complete this section as necessary.
11. Once all fields are completed, you can save changes, download a copy, print the document, or share it as needed.

Complete the LA OAAS-PF-10-010 form online today to ensure accurate documentation of long-term personal care services.