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PCA Time and Activity Documentation - mrciworksource 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your phone number and employee number at the top of the form. This information is essential for identification.
- Fill in the week of service, specifying the start and end dates from Sunday to Saturday.
- In the activities section, check off all relevant tasks performed during each day of the week, such as dressing, grooming, and health-related activities.
- For each visit, indicate the staff-to-recipient ratio and shared care location. Record the time in and time out for each visit, ensuring to circle AM or PM appropriately.
- Calculate daily totals for hours worked and enter your wage. Sum up total hours for the week at the bottom of the form.
- Finally, both you and the recipient must sign to acknowledge that all information is accurate before submission.
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