Resources for employees

Forms

Pre-offer forms

• New hire checklist (PDF, 60k)
• New provider checksheet (PDF, 128k)
• CORI form (PDF, 372k)
• Application for Home and Respite Providers (PDF, 180k)
• References (PDF, 360k)
• Employment application (PDF, 384k)
• Form I-9, Employment Eligibility Verification (PDF, 408k)

Employment offer forms

• Offer letter template (PDF, 404k)
• Polus change form (Word, 796k)
• Part-time employment offer (PDF, 352k)
• Hiring incentive (PDF, 100k)
• Direct Deposit request (PDF, 48k)
• Form W-4 (PDF, 240k)
• Form M-4: Massachusetts Employee's Withholding Exemption Certificates (PDF, 56k)

Orientation forms

• Part-time personnel policies (PDF, 948k)
• Benefits summary (PDF, 388k)
• Performance review form (Word, 260k)
• Timecard template (Excel, 24k)
• Timesheet due date (PDF, 700k)
• Vacation requests (PDF, 364k)
• Monthly report template (Word, 120k)

Shared Living forms

• Assessment to stay alone (PDF, 92k)
• DMR change form (PDF, 128k)
• DMR Incident Report (PDF, 68k)
• Doctor list (PDF, 52k)
• Emergency Evacuation Safety Plan (PDF, 164k)
• Emergency fact sheet (PDF, 28k)
• Financial Assessment and Agreement (PDF, 76k)
• Goal form (PDF, 28k)
• Healthcare checklist (PDF, 64k)
• Annual ISP health and dental assessments (PDF, 72k)
• Health and Dental Summary Tool (PDF, 28k)
• Identification sheet (PDF, 40k)
• Monthly Rec (PDF, 64k)
• Check off List for Notebook (PDF, 28k)
• Quarterly report (PDF, 88k)
• Reviewed Policies and Procedures (PDF, 24k)
• Safety Tool Assessment (PDF, 28k)
• Sexual Awareness form (PDF, 60k)
• Shared management of funds assessment (PDF, 36k)
• Monthly Shared Living Visit Information (PDF, 60k)

Polus forms

• Media Consent and Release (PDF, 100k)

Financial forms

• Mileage form (Excel, 572k)
• Petty cash form (PDF, 392k)
• Check request form (PDF, 360k)
• Consultation register (PDF, 56k)
• Invoice template (PDF, 108k)
• Purchase order template (PDF, 128k)