Customer Forms:

Grievance and Appeal Acknowledgment
RCO Rights and Responsibilities Packet
Rights & Responsibilities Acknowledgement

Fact Sheet for: Complaints, Grievances

DHS DD Services Complaint Form
DHS Administrative Hearing Request

Release of Information Form

  Provider Forms:

Timesheet

Sample Time Sheet Front
Sample Time Sheet Back

Trip Log

Change of Information

IRS Form W-4

2010 Direct Deposit Form

  Employer Forms:

Change of Information

Termination of Employee

Employer Information

Complete Employer Packet

Provider Application

Complete Employee Packet

2010 IRS Form 8821