How to use or fill out Waiver Personal Care Services (WPCS) Workweek Overtime
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the Provider Information section. Enter the provider's name, number, and indicate if they have an active IHSS/WPCS exemption on another case.
- Next, complete the WPCS Participant Information section. Provide the participant's name, date of birth, Client Index Number (CIN), and Waiver Care Agency details.
- In the Exemption Requirements section, answer all questions truthfully. This includes confirming enrollment dates and detailing any specific needs that justify the exemption request.
- Ensure you provide supporting documentation as required. If additional space is needed for explanations, include extra pages.
- Finally, review all entries for accuracy before signing. Both provider and participant must sign and date the form before submission.
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