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  • Veteran's Home Care Timesheet

  • TIME ENTRY

    *Attendants may not work overlapping hours (unless authorized) or in excess of authorized hours. If you do not know what your weekly authorized hours are for this service, please CONTACT HRA to get clarification.

  • WEEK 1

    Please record in and out times for the selected service during week 1 of the pay period.
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  • WEEK 2

    Please record in and out times for the selected service during week 2 of the pay period. ONLY SELECT DATES FOR DAYS WHERE NON-EVV HOURS WERE WORKED.
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  • By signing below, the client (or authorized representative) and attendant providing services acknowledge that the hours reported above are accurate and all tasks performed were authorized. Both parties acknowledge understanding that falsifying information is subject to prosecution.

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  • ONLY "SUBMIT" ONCE THE TIMESHEET IS COMPLETE AND BOTH ATTENDANT AND CLIENT HAVE SIGNED. 

    USE THE "SAVE" BUTTON IF YOU NEED TO COMPLETE AT A LATER TIME.

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