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Il488 1049 form-2026

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  1. Click ‘Get Form’ to open the il488 1049 form in the editor.
  2. Begin by filling in your personal information at the top, including your name, address, and phone number. This ensures that all evaluations are correctly attributed.
  3. Evaluate your Personal Assistant (PA) by placing a check mark next to the statement that best describes their performance in each category: Accuracy of Work, Care of Working Area, Use of Working Time, Attendance, and Attitude Towards Consumer.
  4. Respond to the Yes/No questions regarding your satisfaction with your PA's performance. If you answer 'No' to any question, provide further explanation in the comments section.
  5. In the comments section, feel free to elaborate on any points or concerns regarding your PA’s performance or service hours.
  6. Finally, ensure you sign and date the form at the bottom. If necessary, have a parent or guardian sign as well.

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See more personal assistant evaluation form versions

We've got more versions of the personal assistant evaluation form form. Select the right personal assistant evaluation form version from the list and start editing it straight away!

VersionsForm popularityFillable & printable
20194.8 Satisfied (72 Votes)
20184.2 Satisfied (21 Votes)
20164.8 Satisfied (175 Votes)
20154.8 Satisfied (126 Votes)
20144.8 Satisfied (160 Votes)
20144.1 Satisfied (31 Votes)
20115 Satisfied (52 Votes)
20114.7 Satisfied (27 Votes)
20104.8 Satisfied (147 Votes)
20094.8 Satisfied (116 Votes)
20094 Satisfied (20 Votes)
20084.8 Satisfied (109 Votes)
20084.4 Satisfied (318 Votes)
20024.3 Satisfied (231 Votes)
19994.5 Satisfied (62 Votes)

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ADMINISTRATIVE CODE

Service Plan specifically, the Home Services Program Service Plan (IL 488-1049), Home Services Program Service Plan Addendum (IL 488-1050) or the InterimRead more

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