PCA Time and Activity Documentation - mrciworksource 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your phone number and employee number at the top of the form. This information is essential for identification.
  3. Fill in the week of service, specifying the start and end dates from Sunday to Saturday.
  4. In the activities section, check off all relevant tasks performed during each day of the week, such as dressing, grooming, and health-related activities.
  5. 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.
  6. Calculate daily totals for hours worked and enter your wage. Sum up total hours for the week at the bottom of the form.
  7. Finally, both you and the recipient must sign to acknowledge that all information is accurate before submission.

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