FOLLOWING ARE FORMS THAT CAN
BE PRINTED
ATTENTION PROVIDERS
- Please read the following:
New requirements for time sheets as of January 20th 2010 -
Please read the information below!
All days worked between the 1st and the 15th of the month must be at the office of ACCENT no later than the
16th. All days worked between the 16th and 31st must be on another time sheet and be at ACCENT no later than the first
day of the following month. Time sheets can be delivered, faxed or emailed. The original must also
be mailed on that date as well. If time sheets are not received by the due date then paychecks may not be
issued until the following pay period. Both the parent and provider must sign the bottom of the time sheet and the parent must initial
after every day that is worked. Record times based on the quarter hour and round each days total to the nearest
quarter hour. Time sheets must be submitted free from errors and corrections. Please note that respite
must be no more than 12.75 hours per calandar day. The State will not pay for more than 12.75 hours.
Paychecks should be received within 10 days of the end of the time period which is either the 10th or
the 25th of each month.
We are now also using electronic time
cards that every employee must use. Please look at the following link for specific information on how to input the hours.
*Electronic Time Card Instructions
*Manual Time Sheet download
The manual time sheet is only used when the electronic time card
used on ddreports.com cannot be used for some reason.
Anytime a provider administer's over-the-counter medicine or
prescription medicine the date and dosage must be filled out
on
this form. This form must be returned to ACCENT at
the end of
every month.
*Medicine Log download
If
a client is injured in any way for any reason while the provider is
working with the client, or, if the client had severe
behaviors that warranted
emergency measures, then an Incident Report (IR) form must be filled out and sent
to: ACCENT, the client's support coordinator, and to the DDD Incident Report line within 24 hours.
There are 3 ways to send
the IR form to DDD:
1. Call it in to: 602-375-1403
2. Fax it to: 602-532-5511
*Incident Report download
*Parent / Client Forms download
Forms for parents or guardians of clients starting services with ACCENT. Forms include: Welcome Letter,
Guardian Consent, Client Information Page, Transportation Waiver and Pre-service Provider Orientation.
GRIEVENCE, EVALUATIONS, EXPECTATIONS, COMMENTS FORMS Download
