EMPLOYEE FORMS
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- #1. Employee Action Notice (Developmental Services)
- This form is completed by the Employer as the employer. Essential information is employee name, rate of pay, and employer signature. Separate Employee Action Notices for Developmental Services and Choices for Care have been added to reflect policy differences.
- #1a. Employee Action Notice (Choices for Care/PDAC)
- This form is completed by the Employer as the employer. Essential information is employee name, rate of pay, and employer signature. Separate Employee Action Notices for Developmental Services and Choices for Care have been added to reflect policy differences.
- #2. Form W-4
- This form is completed by the employee.
- #3. Employment Eligibility Verification
- Section I of this form is completed by the employee,
Section 2 is completed by the Employer. See form #3A for the acceptable documents that you
must see from the employee.
- #4. Request for Criminal Record Check
- This form is completed by the employee and signed on the line next to applicant. Employer does not sign this form.
- #5. Adult Protective Services, Consent for Release of Information
- Section II is completed by the employee. Employer does not sign this form.
- #5a.Vermont DMV Record Request
- Form permitting ARIS Solutions to check your motor vehicle driving
history one time.
- #5b.Department of Children and Families Request
- Form allowing ARIS Solutions to check the Child Abuse/Neglect Registry
for the new employee/contractor. This is a two page form.
The second page can be printed on the back side of the first page.
- Time sheets
- This is completed by the employee and authorized by the
Employer. This can be submitted weekly by completing just
week one or bi-weekly by completing both weeks. The
deadline for receipt of this timecard at the ARIS Solutions office
is Wednesday morning in order for a check to be mailed on
Friday of the same week. Faxes are not accepted.
There are now four different time sheet forms available
for specific programs. These are:
- #8c. DS Time Sheet
- Developmental Services Waiver and Personal Care Time Sheet. When filling these forms be sure to
include the DDMHS Waiver Service Codes. They are available as sheet 12b.
- #8d. CPCS Time Sheet
- Children's Personal Care Services Time Sheet for Personal Care Attendants (PCA) Time Sheet.
Sheet includes affirmation that you are a proper employee and that forms that are incomplete or
incorrect will be returned.
- #003. Choices for Care Time Sheet
- Department of Aging and Independent Living Time Sheet.
- #8f. PDAC Time Sheet
- Attendant Services Program (PDAC) Time Sheet.
- #8g1. Flexible Choices Time Sheet
- Flexible Choices Program Employee time sheet
- #8g2. Flexible Choices Non-Payroll Reimbursement
- Flexible Choices Program Non-Payroll Reimbursement Request form
- #21. Developmental Services Waiver and Children's Personal Care Services Pay Period Dates
- Get a printable list of pay period dates which includes mailing dates for timesheets and dates when checks will be paid. List for DS participants.
- #22. Choices for Care Pay Period Dates
- Get a printable list of pay period dates which includes mailing dates for timesheets and dates when checks will be paid. List for DAIL participants.
- #001. Non-Payroll Reimbursement Request
- This form is completed by the employee and
authorized by the Employer. The deadline for receipt of
this form at the ARIS Solutions office is Wednesday morning in order
for a check to by mailed on Friday of the same week.
Faxes are not accepted. Be sure to include Service
codes on this form. View or download form 12b for
service codes and their meanings.
NOTE: This is for Developmental Services Waiver Only!
- #12a. GOODS: Request for Payment
- When filling these forms be sure to include the DS Waiver
Service Codes. They are available as sheet 12b.
NOTE: This is for Developmental Services Waiver Only!
- #12b. DS Waiver Service Code
- This is a list of service codes for filling out any of the
DS forms. These sheets are 8c (DS Waiver/Personal
care Time Sheet), 12 (Non-Payroll reimbursement), and 12a
(GOODS: Request for Payment)
- #16. Direct Deposit Payment
- Use this form to have payments made by direct deposit to
the employ's checking account.
- SPECIAL NEW FORMS The following forms have been added to help with information and to facilitate new features that can now be done on line. Read the explanation for individual forms.
- Instructions for Employee Actions Notice (Form 1)
- This contains instructions for using the Employee Actions
Notice form. Any time an employee is added, terminated
or there is a change in the status of the employee this
form should be submitted. You should keep a copy of this
form available to review for any change in employee's or
employee status.
- Non-Payment Information
- This form explains reasons for non-payment and contains
information for getting payments when all requirements for
time sheets have not been met. It would be good to keep a
copy of this form as a checklist for submitting your time sheet
information.