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MICHELLE P AND ABI/ABI-LT PARTICIPANT DIRECTED SERVICES EMPLOYER/EMPLOYEE TIMESHEET 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Participant Name and ID # at the top of the timesheet. This identifies who is receiving services.
- Fill in the Pay Period, Employee Name, and Employee ID #. Ensure all details are accurate for proper processing.
- For each date of service provided, enter the Date (MM/DD/YY), Service Provided, Time IN (AM/PM), and Time OUT (AM/PM). Repeat this for all services rendered during the pay period.
- Calculate Total Time for each service entry and summarize these in SubTotals for Week 1 and Week 2.
- Complete the GROSS TOTAL AMOUNT FOR PAY PERIOD section by entering Service & Billing Code, Hours, Rate, and Total.
- Finally, ensure both Employee Signature and Participant/Representative/Employer Signature are completed along with dates to certify accuracy.
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