Log of weekly services 2011 form-2026

1. Click ‘Get Form’ to open the log of weekly services 2011 form in the editor.
2. Begin by entering the provider agency name, direct service worker’s name, recipient's name, and recipient's date of birth in the designated fields.
3. Fill in the 'Week Of' and 'Through' dates to specify the service period. Ensure these dates align with your service schedule.
4. Document daily arrival and departure times for each day of the week, using initials to confirm accuracy.
5. Indicate tasks completed each day by placing initials in the corresponding columns for each type of Personal Assistance Service (PAS) provided.
6. At the end of the week, calculate and enter total hours worked for each PAS type in the designated areas.
7. Obtain necessary signatures from both the recipient or their representative and the direct service worker at week's end.

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