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Region 4 - Area Agency on Aging
Employee (Provider) Forms
- New Provider Application
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Criminal Background Check Authorization​
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Include a clear copy of Driver's License
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Training
INCOMPLETE OR MISSING TRAINING
WILL DELAY PAYMENT
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TRAINING LOG AND TUBERCULOSIS
RISK ASSESSMENT REQUIRED
*PRIOR TO OR WITH*
YOUR FIRST TIMESHEET
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Self-Determination Training Log
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Training materials can be found in your Employer's home​
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Corporate Compliance, Ethics & Deficit Reduction Act training information
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Tuberculosis Risk Assessment​
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If any of the boxes are checked, TB test is required prior to services
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If none apply, check 'None'
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Employer (Participant) Resources
- EMPLOYER GUIDE: HIRING AND MANAGING EMPLOYEES
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Developing a Job Description​
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Finding Employees
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Interviewing Potential Employees
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Hiring/Firing Process
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Your Role as Employer
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Our Role as Fiscal Intermediary
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