Forms
PCA Employment Application Paperwork 2011- (1 Large File .PDF) - New 10/2011!
Replacement Paperwork:
- MHCP Individual PCA Enrollment Forms
- PCA Employment Agreement
- Payroll Request Form
- W-4 2011
- I-9 Employee Eligibility
- Individual PCA Relationship Acknowledgement Form
- PCA Agency Disclosure & Release Form (For PCAs working with multiple consumers/agencies)
- PCA Termination/Resignation Notice
- Company Policies & Procedures 10/2011
PCA PERSONAL INFORMATION CHANGES (08/2010)
If a PCA's personal information (legal name, address, phone number, etc.) has changed please follow the steps below:
- Email or fax Ability Care with your changes in writing for our human resources and payroll records.
- Complete the MHCP / DHS Individual PCA Information Change Form (DHS-5716 08/2010) and mail or Fax to Ability Care Partners 612-395-5593.
- If your tax filing status has changed, complete a new W-4 and mail or fax to Ability Care Partners.
- If your legal name has changed, you must provide us with a photocopy of your new drivers license, social security card and marriage certificate or dissolution (if applicable) via mail. We do not accept faxes of ID's.
Timesheet & Payroll Calendar 2011
NEW (09/24/11) - Printable Timesheet [Instructions]
NEW (09/24/11) - Enhanced PCA Timesheet [Instructions] [Demo Video]
