Palco is excited to be a guiding light for self-direction as Maine‘s newest FMS provider!

News & Resources

2024 Payment Schedule
2025 Payment Schedule
Palco Encrypted Email Instructions
Maine Palco Advantages
How to Change FMS Vendors

Workers Compensation

Maine Election Form
First Report of Injury – Maine
ACORD Signature Page
Electronic Delivery Authorization

EVV Training

EVV Mobile App User Guide
Time Entry User Guide

Support Broker Resources

Case Management Portal User Guide

Participant/Employer Forms

2024 Payment Schedule
2025 Payment Schedule
PAR/EOR Intake Form
Employment Separation Notice
Change of Information
Resource Guide for Worker Training Requirements

Direct Support Worker Forms

2024 Payment Schedule
2025 Payment Schedule
DSW Intake Form
IRS W-4 Federal Withholding
Form W-4ME
Change of Information
Pay Selection & Direct Deposit Agreement
Payroll Information Worksheet
Stop Payment Request

Vendor Forms

2024 Payment Schedule
2025 Payment Schedule
Vendor Enrollment Packet
Pay Selection and Direct Deposit Form – Vendors
Vendor Payment Request
Stop Payment Request