Iris Worker Timesheet PDF Details

In today's fast-paced world, managing work hours effectively is paramount, especially for those involved in caregiving roles supported by specific programs like IRIS (Include, Respect, I Self-Direct). The Iris Worker Timesheet form plays a crucial role in this process, ensuring that both employees and employers have a clear, organized method for recording and submitting the hours worked during a pay period. This comprehensive form guides users through detailing the types of services provided, including personal care, home support, chores, and respite care, with each service type having a designated code for ease of reporting. Additionally, it underscores the importance of accuracy and timeliness, stating that timesheets must be submitted by a certain deadline to fit the payroll schedule, a critical piece of information for all participants to ensure they receive their payments promptly. The form even includes detailed instructions on how to fill it out correctly, from writing in black or blue ink to how to submit the completed document, whether by mail or electronically, highlighting a strong emphasis on clarity and precision. With sections designed for both the worker-participant and the participant employer to fill out and sign, the form serves as an essential tool in the payment process, making sure that work is compensated correctly while adhering to the program's regulations that unauthorized excess hours worked are not guaranteed payment. Moreover, the form acts as a safeguard for both parties, establishing a documented trail of services rendered and hours worked, crucial in maintaining transparency and trust in any employment relationship.

QuestionAnswer
Form NameIris Worker Timesheet
Form Length2 pages
Fillable?Yes
Fillable fields244
Avg. time to fill out30 sec
Other namesiris timesheet, ilife forms, i iris ilife, ilife time sheet printable

How to Fill Out IRIS Participant-Hired Worker Timesheet

IRIS Participant-Hired Worker Timesheet at a glance

What it is: The IRIS Participant-Hired Worker Timesheet is a true and accurate statement of the services provided.

Who signs: To be processed, the timesheet must include the Participant-Hired Worker number, service code, dates of service, start and end times, dated Participant-Hired Worker signature and dated Participant signature.

The Participant and Participant-Hired Worker certify that the information provided on this timesheet is a true and accurate statement of the services provided.

A filled-in IRIS Participant-Hired Worker Timesheet example: a worker records one week of Personal Care

IRIS Participant-Hired Worker Timesheet example filled out, example: a worker records one week of Personal Care
Jamie Sample fills out the IRIS Participant-Hired Worker Timesheet for Pat Example. Jamie worked 7.5 hours in week 1 and none in week 2 of the pay period. The picture shows the form filled in and every value in it is made up. The pay period ends February 21, 2026, and both entries are Personal Care, service code PC. Week 1 is 4 hours on February 9 and 3.5 hours on February 10, so Week 1 TOTAL HOURS is 7.5. Week 2 stays empty in Totals by week because Jamie worked no hours that week. Service Code rows 2 to 4 stay empty in Totals by week because only one service code was worked. Nothing goes in rows 3 to 32 of Date Worked, Start Time, End Time because Jamie worked on no other days. Both Signatures dates are February 21, 2026, and the signature lines are signed by hand.

How to fill out IRIS Participant-Hired Worker Timesheet, box by box

Worker, Participant and pay period

IRIS Participant-Hired Worker Timesheet example filled out, worker, Participant and pay period

Enter the Participant-Hired Worker Number, the Participant-Hired Worker Name, the Participant Name and the Pay Period End Date.

Date Worked, Start Time, End Time

IRIS Participant-Hired Worker Timesheet example filled out, date Worked, Start Time, End Time

For each line, enter the Date Worked, Start Time, End Time, Hours Worked and Service Code, and check AM or PM for the Start Time and the End Time.

Only one pay period per timesheet. Time must be recorded in 15-minute increments. For example: 01:00, 01:15, 01:30, 01:45. Check "AM" or "PM" for each line (noon = 12 PM). If you make a mistake, cross it out. Do Not use whiteout, tape or glue. Write the correction on a new line or start a new timesheet.

Common Service Code abbreviations: Supportive Home Care - Routine SHC, Supportive Home Care - Chores C, Daily Living Skills DLS, Personal Care PC, Supportive Home Care - Companion Care CC, Respite R.

Participant-Hired Workers may not be paid more than the service amount authorized on the Participant's plan.

Totals by week

IRIS Participant-Hired Worker Timesheet example filled out, totals by week

Calculate the totals by service code for each week, and then the TOTAL HOURS for all services for each week. This section is for reference only.

Signatures

IRIS Participant-Hired Worker Timesheet example filled out, signatures

Sign on the Participant-Hired Worker Signature line and enter the Date.

The Participant signs on the Signature line and enters the Date.

More rules for IRIS Participant-Hired Worker Timesheet

Late timesheets are processed the next pay period.

Please call iLIFE at 888-800-5599 with questions on how to fill out this form.

For a full list of service types and abbreviations, contact your IRIS Consultant.

Each pay period begins on the listed Sunday at 12:00 AM and ends two weeks later on the listed Saturday at 11:59 PM.

Please make sure the timesheet is complete and correct before submitting it to iLIFE.

Common questions about IRIS Participant-Hired Worker Timesheet

Is there a deadline?

Timesheets may be submitted from the pay period end date to the due date.

Where do I file it?

Submit timesheets by Fax: 414-937-2034, Email: iris.timereports@ilife.org, Mail: Ilife, P.O. Box 80439, Milwaukee, WI 53208 or Dropbox: 2020 W. Wells St., Milwaukee, WI 53233.

Sources

[1] IRIS Participant-Hired Worker Timesheet (10/2025), iLIFE (the Official source link on this page).

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