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QuestionAnswer
Form NameNortheast Arc Electronic
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnortheast arc pca timesheet, nearc timesheets, nearc fi, northeast arc fiscal intermediary

Form Preview Example

 

 

 

 

 

 

Electronic Timesheets Agreement

 

 

 

 

 

 

FAX THIS FORM TO 978Ǧ750Ǧ3639 OR

 

 

 

 

 

 

MAIL TO: Northeast Arc FI, 6 Southside Rd,

 

 

 

 

 

 

Danvers, MA 01923

 

Ǥ

Š‡ Ž‡…–”‘‹… ‹‡•Š‡‡–• ‘†—Ž‡ ‹•

 

 

 

 

™‡„Ǧ„ •‡† ‹–‡”ˆ …‡ –Š”‘—‰Š ™Š‹…Š ‘•—‡”•ǡ

I.

 

—””‘‰ –‡•ǡ ‡”•‘ Ž ”‡ ––‡† –•ǡ † ‹•… Ž –‡”‡†‹ ”› •– ˆˆ …  ”‡•’‡…–‹˜‡Ž› ˜‹‡™

About The Electronic Timesheets Module

 

 

 

 

”‡Ž‡˜ – –‹‡•Š‡‡– ‹ˆ‘” –‹‘Ǥ ††‹–‹‘ ŽŽ›ǡ ‘•—‡”• † –Š‡‹” —””‘‰ –‡•ǡ „—– ‘–

 

 

‡”•‘ Ž ”‡ ––‡† –•ǡ ™‹ŽŽ „‡ „Ž‡ –‘ ˜‹‡™ –Š‡‹” ”‹‘” —–Š‘”‹œ –‹‘ ‘—–• †

 

„Ǥ

—–‹Ž‹œ –‹‘Ǥ

 

 

 

 

‘•—‡”•ǡ —””‘‰ –‡• † ‡”•‘ Ž ”‡ ––‡† –• ™‹ŽŽ „‡ „Ž‡ –‘ —•‡ –Š‡ •›•–‡ –‘ „‘–Š

 

…Ǥ

•—„‹–

† ’’”‘˜‡ –‹‡•Š‡‡–• ‡Ž‡…–”‘‹… ŽŽ› ˆ‘” ’ ›‡– „› –Š‡ ‹•… Ž –‡”‡†‹ ”›Ǥ

 

‘•—‡” ‹• ‘– ”‡“—‹”‡† –‘ Š ˜‡

—””‘‰ –‡ ‹ ‘”†‡” –‘ —•‡ –Š‡ •›•–‡Ǥ —– ‹ … •‡•

 

 

™Š‡”‡

‘•—‡” †‘‡• Š ˜‡

—””‘‰ –‡ † –Š‡ ‘•—‡” ’’”‘˜‡• –Š‡ —””‘‰ –‡ –‘ Š ˜‡

 

 

……‡•• –‘ –Š‡ Ž‡…–”‘‹… ‹‡•Š‡‡–• —„‹••‹‘ –‡”ˆ …‡ǡ „‘–Š –Š‡ ‘•—‡” † Š‹•ȀŠ‡”

 

 

—””‘‰ –‡ ™‹ŽŽ Š ˜‡ ‹†‡–‹… Ž

„‹Ž‹–‹‡• –‘ ‡–‡” † ’’”‘˜‡ –‹‡•Š‡‡–• ˆ‘” ’ ›‡–Ǥ ˆ –Š‡

 

 

‘•—‡” †‘‡• ‘– ˆ‡‡Ž …‘ˆ‘”– „Ž‡ ™‹–Š –Š‡ ‡Ž‡…–”‘‹… ‹–‡”ˆ …‡ǡ –Š‡ —””‘‰ –‡ Š • –Š‡

 

 

„‹Ž‹–› –‘ Š †Ž‡ ŽŽ ‘ˆ –Š‡ ‘•—‡”ǯ• –‹‡•Š‡‡– •—„‹••‹‘ † ’’”‘˜ Ž ”‡•’‘•‹„‹Ž‹–‹‡•Ǥ

II.TermsǤ andŠ‡Conditions‘•—‡” †Ȁ‘” Š‹•ȀŠ‡” —””‘‰ –‡ † –Š‡ ‡”•‘ Ž ”‡ ––‡† – —•– Š ˜‡ ˜ Ž‹† ‡Ǧ

By signing below,‹Ž ††”‡••‡•you are™Š‹…Šagreeing–Š‡›to……‡••the followingˆ”‡“—‡–Ž›ǤTerms and Conditions:

„Ǥ Š‡ ‘•—‡”ǡ Š‹•ȀŠ‡” —””‘‰ –‡ ȋ‹ˆ ’’Ž‹… „Ž‡Ȍ † –Š‡ ‡”•‘ Ž ”‡ ––‡† – ‰”‡‡ –‘ —•‡ –Š‡ Ž‡…–”‘‹… ‹‡•Š‡‡–• —„‹••‹‘ –‡”ˆ …‡ • ‡–Š‘† ‘ˆ •—„‹––‹‰ –‹‡•Š‡‡–•Ǥ ‹Ǥ ‹‰‹‰ –Š‹• ‰”‡‡‡– †‘‡• ‘– ”‡“—‹”‡ ›‘— –‘ ‘Ž› —•‡ –Š‡ Ž‡…–”‘‹… ‹‡•Š‡‡–• —„‹••‹‘ –‡”ˆ …‡Ǥ –Š‡” ‡–Š‘†• ‘ˆ •—„‹––‹‰ –‹‡ǡ •—…Š • ˆ š‹‰ ‘”  ‹Ž‹‰ǡ

”‡ •–‹ŽŽ ……‡’– „Ž‡Ǥ …Ǥ –‹‡•Š‡‡–  › ‘– „‡ •—„‹––‡† ‡Ž‡…–”‘‹… ŽŽ› ‹ˆ –Š‡ ‘•—‡” † –Š‡ ‡”•‘ Ž ”‡

––‡† – Š ˜‡ ‘– „‘–Š •‹‰‡† † ‰”‡‡† –‘ —•‡ –Š‡ Ž‡…–”‘‹… ‹‡•Š‡‡–• —„‹••‹‘ –‡”ˆ …‡ ˜‹ –Š‹• ‰”‡‡‡–Ǥ

‹Ǥ ˆ –Š‡ ‘•—‡” ’’”‘˜‡• –Š‡‹” —””‘‰ –‡ –‘ —•‡ –Š‡ •›•–‡ǡ –Š‡ –Š‡ —””‘‰ –‡ —•– Ž•‘ •‹‰ –Š‹• ‰”‡‡‡–Ǥ

†Ǥ  ‹†‹˜‹†— Ž Ž‡…–”‘‹… ‹‡•Š‡‡–• ‰”‡‡‡– ‹• ”‡“—‹”‡† ˆ‘” ‡ …Š ‘•—‡”Ȁ‡”•‘ Ž

”‡ ––‡† – ”‡Ž –‹‘•Š‹’ –Š – …Š‘‘•‡• –‘ —•‡ –Š‡ Ž‡…–”‘‹… ‹‡•Š‡‡–• —„‹••‹‘ –‡”ˆ …‡Ǥ Š‹• ‹• –”—‡ ‡˜‡ ‹ˆ –Š‡ ‘•—‡” ‘” ‡”•‘ Ž ”‡ ––‡† – ‹• Ž”‡ †› —•‹‰ –Š‡ Ž‡…–”‘‹… ‹‡•Š‡‡–• —„‹••‹‘ –‡”ˆ …‡ ‹ ‘–Š‡” ‘•—‡”Ȁ‡”•‘ Ž ”‡ ––‡† – ”‡Ž –‹‘•Š‹’Ǥ

Consumer Name: ________________________________________________________

Consumer Number __________________

Consumer EǦmail: ________________________________________________________

 

Consumer Signature: _____________________________________________________

Date: _________________

Surrogate Name: __________________________________________________________

 

Surrogate EǦmail: _________________________________________________________

 

Surrogate Signature: ______________________________________________________

Date: _________________

PCA Name: _________________________________________________________________

 

PCA EǦmail: _______________________________________________________________

 

PCA Signature: ____________________________________________________________

Date: _________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acuerdo de uso de Hojas de Tiempo Electrónicas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENVIE POR FAX AL 978Ǧ750Ǧ3639 O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POR CORREO: Northeast Arc FI, 6 Southside Rd,

 

‡Ǥ

Ž •‹•–‡ †‡ Š‘Œ • ‡Ž‡…–”󐋅 • ‡• —

 

 

 

 

 

Danvers, MA 01923

 

 

 

 

 

 

•‹•–‡

“—‡ •‡

……‡•

–” ˜é• †‡Ž –‡”‡– ‡ ‡Ž …— Ž

I.

 

‘•—‹†‘”‡•ǡ —•–‹–—–‘•ǡ •‹•–‡–‡• †‡ …—‹† †‘ ’‡”•‘ Ž › ‡Ž ‡”•‘ Ž †‡Ž –‡”‡†‹ ”‹‘

Acerca del sistema de Hojas de Tiempo Electrónicas

 

 

 

 

 

 

ˆ‹•… Ž ’‘†”ᐠ˜‡” Ž

‹ˆ‘” …‹ó ”‡Ž‡˜ –‡

Ž ‹ˆ‘” …‹ó †‡ •—• Š‘Œ • †‡ –‹‡’‘Ǥ

 

 

 

†‹…‹‘ Ž‡–‡ǡ ‡Ž …‘•—‹†‘” › •— •—•–‹–—–‘ǡ ’‡”‘ ‘ ‡Ž •‹•–‡–‡ †‡ …—‹† †‘ ’‡”•‘ ǡ

 

ˆǤ

’‘†”ᐠ˜‡” ‡Ž „ Ž …‡ †‡ •—

’”‘„ …‹ó †‡Ž •‡”˜‹…‹‘ › •— —–‹Ž‹œ …‹óǤ

 

 

‘•—‹†‘”‡•ǡ —•–‹–—–‘• › Ž‘• •‹•–‡–‡• †‡ —‹† †‘ ‡”•‘

’‘†”ᐠ—• ” ‡•–‡ •‹•–‡ ’ ”

 

 

•‘‡–‡” › ’”‘„ ” Š‘Œ • †‡ –‹‡’‘ …‘ Ž • Š‘”

“—‡ ‡Ž –” „ Œ ’ ” “—‡ •‡  ’ ‰ † •

 

‰Ǥ

’‘” ‡Ž –‡”‡†‹

”‹‘ ‹•… ŽǤ

 

 

 

 

 

 

— •—•–‹–—–‘ ’ ” ’‘†‡” —• ” ‡•–‡ —‡˜‘ •‹•–‡ Ǥ

 

‘ ‡• ”‡“—‡”‹†‘ “—‡ ‡Ž ‘•—‹†‘” –‡‰

 

 

‡”‘ ‡ … •‘• †‘†‡ ‡Ž ‘•—‹†‘” –‡‰

— •—•–‹–—–‘ › ‡Ž …‘•—‹†‘” ’”—‡„‡ Ž •—•–‹–—–‘

 

 

’ ” “—‡ –‡‰

 

……‡•‘

‡˜‹ ” Ž • Š‘Œ • †‡ –‹‡’‘ ‡Ž‡…–”󐋅 •ǡ „‘• †‡„‡ –‡‡”

 

 

Š „‹Ž‹† †‡• ‹†é–‹… • ’ ” ‡–” ” ›

’”‘„ ” ‡•– • Š‘Œ • †‡ –‹‡’‘ ’ ” •— ’ ‰‘Ǥ ‹ ‡Ž

 

 

…‘•—‹†‘” ‘ •‡ •‹‡–‡ …󏑆‘ …‘ ‡•–‡ —‡˜‘ •‹•–‡ ǡ ‡Ž •—•–‹–—–‘ †‡„‡ –‡‡” Ž

Š „‹Ž‹† †

 

Términos›yŽCondiciones:”‡•’‘• „‹Ž‹† † †‡  ‡Œ ” ‡•–‡ —‡˜‘ ’”‘…‡•‘ †‡ •‘‡–‡” › ’”‘„ ” Ž • Š‘Œ • †‡

II.

–‹‡’‘ ‡Ž‡…–”󐋅

acuerda•Ǥ

 

 

†‹”‡……‹ó

Al firmar debajo, usted

seguir los siguientes términos y condiciones:

 

ŠǤ

Ž …‘•—‹†‘” ›Ȁ‘ •— •—•–‹–—–‘ › ‡Ž •‹•–‡–‡ †‡ —‹† †‘ ‡”•‘ Ž †‡„‡ –‡‡” —

 

‹Ǥ

†‡ …‘””‡‘ ‡Ž‡…–”󐋅‘ ˜ Ž‹†

Ž

…— Ž

 

……‡•  †‡  ‡” ˆ”‡…—‡–‡Ǥ

…—‡”†‘

 

Ž …‘•—‹†‘”ǡ •— —•–‹–—–‘ ȋ•‹

’Ž‹…

 

Ȍ › ‡Ž •‹•–‡–‡ †‡ —‹† †‘ ‡”•‘ Ž ‡•–ᐠ†‡

 

 

‡ —• ” ‡Ž ‹•–‡

‡Ž‡…–”󐋅‘ †‡ ‘Œ

• †‡ –‹‡’‘ …‘‘ é–‘†‘ ’ ” •‘‡–‡” Ž • Š‘” • †‡

 

 

–” „ Œ‘ †‡Ž Ǥ

 

 

…—‡”†‘ ‘ ”‡“—‹‡”‡ “—‡ •‘Ž‘ ’—‡† —–‹Ž‹œ ” ‡•–‡ ‡†‹‘ ’ ”

•‘‡–‡”

 

 

‹Ǥ

Ž ˆ‹” ” ‡•–‡

 

 

 

Ž • Š‘” • –” „ Œ † • ’‘” •— Ǥ –”‘• é–‘†‘• …‘‘ ˆ š‡ ” ‘ ‡˜‹ ” ’‘” …‘””‡‘ Ž

 

ŒǤ

 Š‘Œ

Š‘Œ †‡ –‹‡’‘ †‡ ’ ’‡Žǡ ‡•

 

 

— …‡’– „Ž‡Ǥ

 

 

 

 

†‡ –‹‡’‘ ‘ •‡”á •‘‡–‹†

 

 

‡Ž‡…–”󐋅 ‡–‡ •‹ ‡Ž …‘•—‹†‘” ‘ •— •‹•–‡–‡ †‡

 

 

…—‹† †‘ ’‡”•‘ Ž ‘ Š  ˆ‹” †‘ ›

 

…‘”† †‘ ‡Ž —•‘ †‡ ‘Œ • †‡ –‹‡’‘ ‡Ž‡…–”󐋅 • –” ˜é•

 

 

†‡ ‡•–‡

…—‡”†‘Ǥ

 

 

 

 

 

•— •—•–‹–—–‘

—• ” ‡Ž •‹•–‡ ǡ ‡–‘…‡• ‡Ž •—•–‹–—–‘ †‡„‡

 

 

‹Ǥ

‹ ‡Ž …‘•—‹†‘” ’”—‡„

 

Ǥ

 

– „‹é ˆ‹” ” ‡•–‡

…—‡”†‘Ǥ

 

 

 

 

… † ”‡Ž …‹ó †‡

 

 

‡ ‡• ”‡“—‡”‹†‘ — …—‡”†‘ †‡ —•‘ †‡ Š‘Œ • ‡Ž‡…–”󐋅 • ’ ”

 

 

 

‘•—‹†‘”Ȁ “—‡ †‡•‡‡ —–‹Ž‹œ ” ‡•–‡ é–‘†‘ ’ ”

•‘‡–‡” •—• Š‘” • –” „ Œ † •Ǥ •–‘

 

 

‡• …‘””‡…–‘ —“—‡ ‡Ž …‘•—‹†‘” ‘ ‡Ž •‹•–‡–‡ †‡ …—‹† †‘ ’‡”•‘ Ž › ‡•–‡ —• †‘ ‡•–‡

 

 

•‹•–‡

†‡ Š‘Œ • ‡Ž‡…–”󐋅 • ‡ ‘–”

 

 

”‡Ž …‹ó †‡ …‘•—‹†‘”Ȁ•‹•–‡–‡ †‡ …—‹† †‘ ’‡”•‘ ŽǤ

‘„”‡ †‡Ž ‘•—‹†‘”ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴ú‡”‘ †‡Ž ‘•—‹†‘”ǣ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

‘””‡‘ Ž‡…–”󐋅‘ †‡Ž ‘•—‹†‘”ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

‹”

†‡Ž ‘•—‹†‘”ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

‡…Š

ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

‘„”‡ †‡Ž —•–‹–—–‘ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

‘””‡‘ Ž‡…–”󐋅‘ †‡Ž —•–‹–—–‘ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

‹”

†‡Ž —•–‹–—–‘ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

‡…Š

ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

‘„”‡ †‡Ž ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

‘””‡‘ Ž‡…–”󐋅‘ †‡Ž ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

‹”

†‡Ž ǣ ̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

‡…Š ǣ

̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴̴

 

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