Independence Timesheet Form PDF Details

Do you have trouble keeping track of all the time your employees spend working on individual tasks each week? To make things easier, consider using an independence timesheet form to help you. This document outlines clearly who is responsible for what and lets them better manage their time by accurately tracking it down to the minute. With this in mind, let's take a closer look at everything that makes up creating, maintaining, and utilizing an independent timesheet form to its fullest extent!

QuestionAnswer
Form NameIndependence Timesheet Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesgt independence timesheet, gt independence 2021 pay schedule, gt independence timesheets, gt payroll calendar 2021

Form Preview Example

Please note that direct service workers are NOT allowed to work more than
Signature of Participant/Representative
Signature of Direct Service Worker

 

 

 

 

 

GT Independence

 

Agency Code:______________________________

 

Self Directed Timesheet

 

Member Name:_____________________________________

 

 

Fax to GT Independence:

 

 

 

(PRINT)

 

855-329-8648

 

Employee Name:____________________________________

 

 

 

 

 

 

(PRINT)

 

 

 

 

 

Period Begin:_____________ Period End:______________

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

Service Code 1

 

 

 

Service Code 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mo/Day

 

In (am/pm) Out (am/pm)

Total Hrs

 

 

In (am/pm) Out (am/pm)

Total Hrs

Service Codes:

T1019 - Personal Care

S5135 - Adult Companion Care

S5125 - Attendant Care

S5130 - Homemaker Service

S9124 - Intermittent & Skilled Nursing

Service Code 3

In (am/pm) Out (am/pm)

Total Hrs

Totals:

This timesheet shows the correct service and the correct number of hours that I have provided care to the participant during this time period. Date:

This timesheet shows the correct service and the correct number of hours that my direct service worker has provided care to me during this time period. Date:

40 hours per week.

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So as to complete this document, make sure that you enter the required information in every field:

1. First, when filling out the gt independence service codes, begin with the part that includes the subsequent fields:

Filling out section 1 in independence self timesheet online

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this field, next field, and other fields of independence self timesheet online

Always be really careful while completing this field and next field, because this is where many people make errors.

3. This next part will be easy - fill in all the fields in Totals, This timesheet shows the correct, Signature of Direct Service Worker, Date, This timesheet shows the correct, Signature of, Date, and Please note that direct service to finish this process.

Please note that direct service, Signature of, and Totals inside independence self timesheet online

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