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Important Documents

This is a very temporary location for various documents related to the DAC-PAS Program. Please know that additional documents are currently in the process of being converted and will soon be uploaded to the DAC-PAS site. Thank you for your patience.

 
| Assistant Documents | General Documents |
General Documents
 
FORMAT:
 
 
 
PDF
 
Word
 
  > Assistant Personnel Policy  
PDF Format
 
Microsoft Word Format
  > Attachment A - General  
PDF Format
 
Microsoft Word Format
  > Attachment A - Chore  
PDF Format
 
Microsoft Word Format
  > Attachment A - Companion Care  
PDF Format
 
Microsoft Word Format
  > Attachment A - PCS / State Plan  
PDF Format
 
Microsoft Word Format
  > Attachment A - Respite  
PDF Format
 
Microsoft Word Format
  > Confidentiality Agreement  
PDF Format
 
Microsoft Word Format
 
  > Customer and Assistant Agreement  
PDF Format
 
Microsoft Word Format
 
  > Employment Eligibility (US DOJ Form I-9)  
PDF Format
 
n/a
 
  > Assistant Health Screen History  
PDF Format
 
Microsoft Word Format
 
  > Program Fact Sheet for New Assistants  
PDF Format
 
Microsoft Word Format
 
  > Schedule and Employment Agreement  
PDF Format
 
Microsoft Word Format
 
  > Time Sheet and Progress Notes Instructions  
PDF Format
 
Microsoft Word Format
 
  > Pay Schedule - General  
PDF Format
 
Microsoft Word Format
 
  > Pay Schedule - CDA  
PDF Format
 
Microsoft Word Format
 
  > Direct Deposit Authorization  
PDF Format
 
Microsoft Word Format
 
  > Background Check Agreement  
PDF Format
 
Microsoft Word Format
 
  > Germ Brochure  
PDF Format
 
Microsoft Word Format
 
  > Guidelines for Verification of Universal Precautions  
PDF Format
 
Microsoft Word Format
 
  > Previous Experience Verification Form  
PDF Format
 
Microsoft Word Format
 
  > Universal Precautions Instructions  
PDF Format
 
Microsoft Word Format
 
  > Universal Precautions / Infection Control Evaluation  
PDF Format
 
Microsoft Word Format
 
  > AFLAC Supplemental Insurance Notice  
PDF Format
 
Microsoft Word Format
 
  > AFLAC Premium Rate Sheet for Idaho  
PDF Format
 
Microsoft Word Format
 
 

 

 
| Assistant Documents | General Documents |
General Documents
 
FORMAT:
 
     
PDF
Word
 
  > Application to Provide Assistant Services - General  
PDF Format
 
Microsoft Word Format
 
  > Application to Provide Assistant Services - CDA  
PDF Format
 
Microsoft Word Format
 
  > Receipt of Manual Confirmation  
PDF Format
 
Microsoft Word Format
 
  > Medicaid Aged and Disabled (A&D) Waiver  
PDF Format
 
Microsoft Word Format
 
  > DAC-PAS Program Manual  
PDF Format
 
Microsoft Word Format
 
  > Implementation Plan  
PDF Format
 
Microsoft Word Format
 
  > Notice of Change  
PDF Format
 
Microsoft Word Format
 
  > Release of Information  
PDF Format
 
Microsoft Word Format
 
  > Dept. of Health & Welfare - Significant Change Request Form  
PDF Format
 
Microsoft Word Format
 
 

 

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MOSCOW

East 124 Third Street
Moscow, Idaho 83843

208.883.0523 Voice / TTY
800.475.0070 Toll-Free Voice / TTY
208.883.0524 Facsimile

E-Mail: moscow@dacnw.org
Website: www.dacnw.org


COEUR D'ALENE

1323 Sherman Avenue, Suite 7
Coeur d'Alene, Idaho 83814

208.664.9896 Voice / TTY
800.854.9500 Toll-Free Voice / TTY
208.666.1362 Facsimile

E-Mail: cda@dacnw.org
Website: www.dacnw.org


LEWISTON

307 Nineteenth Street, Suite A-1
Lewiston, Idaho 83501

208.746.9033 Voice / TTY
208.746.1004 Facsimile


E-Mail: lewiston@dacnw.org
Website: www.dacnw.org



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