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EMPLOYEE NOTE: By your signature, I do hereby attest that this information is true, accurate, and complete to the best of my knowledge and I understand that any falsification may subject me to administrative, civil or criminal liability.
If a consumer is in the hospital, a nursing home, or another facility, away from home for any reason, or has passed away and cannot receive services, you must inform the Administrator IMMEDIATELY at 267-297-7395.
Timesheets are due within 24 hours of receiving notification.