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News & Updates
Participant Forms
Participant/Employer Enrollment Packet
Third-Party Representative Designation
Change of Information
Employment Separation
Notice of Privacy Practices
2024 Payment Schedule ADW
Caregiver Forms
Worker Intake Form
Worker Enrollment Packet
Criminal Background Check Scheduling Packet
Change of Information
IRS W-4 Federal Withholding
WV State Withholding
Notice of Privacy Practices
Worker Rate of Pay Information
Pay Selection & Direct Deposit Agreement
Payroll Information Worksheet
EVV Registration Form
Income Verification Request
2024 Payment Schedule – ADW
Paper Timesheet (EVV Exempt Only)
Mileage Reimbursement Form
Stop Payment Request
Resources
PO Employer Training Guide
PO Worker Training Guide
Employer Training Verification Attestation Form
Worker Additional Training Hours Resource
Initial Test
Initial Test Answer Key
Initial Training Verification Form
Annual Test
Annual Training Verification Form
Time Entry User Guide
EVV Mobile App User Guide
EVV Telephony Instructions
Worker Backup Plan
Vendor Forms
Vendor Packet
Vendor Payment Schedule
Vendor Pay Selection & Direct Deposit Authorization Form
Vendor Transition Letters