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Thank you for being a part of the HOPE Group Family, and contributing to the lives of many children and their families who appreciate all that you do.

Did you remember to check the announcements this month?

Below are links to forms and documents that you may need to access periodically.  Please contact us with any questions or if you prefer that we mail these forms to you.

In the future, we hope to have a login section for you to access your client information, hours you've worked, tax information, hours your client has used, your pay rate, benefits and 401K information, and quite possibly enter timesheets.

Documents and Forms:

Are there any other forms you would like to see here? Please offer your suggestion.

 
The timesheets and habilitation reports are in MSWord format, so you can type directly into them to print them off!  Please be sure that you delete extra spaces at the bottom to avoid printing two pages.

Respite Timesheet
Multiple Respite Timesheet Only submit if you have prior approval from Hope Group
Habilitation Timesheet Be sure to submit a habilitation report with every habilitation time sheet
Habilitation Report  - **NEW as of 6/01/2010 These accompany all habilitation time sheet (see sample)                     Sample Habilitation Report-**NEW as of 5/1/2009                                                                                             Composite Schedule You must submit this if you turn in three or more timesheets in a month
Timesheet Protocol Be sure to read this thoroughly to avoid receiving deficiencies
Pay Date Schedule When to submit your timesheets and when you will be paid each month
Sample Timesheet Please review to see how your timesheets should look
Sample Habilitation Report Please review to see how your habilitation reports should look
Sample Composite Schedule Please review to see how your composite schedule should look

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Please note that in order to qualify for benefits through Hope Group, you must work 120 hours per month for three consecutive months.  If you have any further questions, please view the links below and/or contact our HR department and/or Lauren Hesshopegroupaz.com  mailto:lhess@hopegroupaz.com mailto:lhess@hopegroupaz.com

Insurance Plans
401K Plan

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Be sure to report these within 24 hours

Incident/Accident Report If you or your client experience an injury, or if there is some other incident while you are working, you must fill this form out and fax or bring into the office within 24 hours. It is also your responsibility to call the office or emergency pager (if a weekend or holiday) within that 24 hour period as well.  
Phoenix Concentra Map if you experience an injury while working, please go to one of these locations to receive workman's comp (See also Tucson Concentra and Flagstaff Concentra maps)
Client/Provider Grievance Form Fill out if you have any concerns about the client's or your own mental or physical health.

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Direct Deposit Please remember that the first payroll after submitting this form, you will receive your check in the mail. The following month, you should receive direct deposit.
Arizona Tax Form if you need to change your AZ tax information, please complete
Federal Tax Form if you need to change your federal tax information, please complete
Employee Policy and Procedure Manual if you have any questions or would like a record of Hope Group's policies and procedures
Employment Agreement for your records; this was signed in orientation
HIPPA Information and Agreement Please be sure you understand the privacy of your clients
Transportation Protocol and Transportation Log Most providers do not transport, but if it is necessary for habilitation or respite please submit the documents listed on the transportation protocol. Once you are authorized by Hope Group, you must submit a transportation log with your timesheets every month you bill for a client you are authorized to transport, regardless of whether or not you actually transported your client that month. You will not be reimbursed for mileage. For all questions regarding transportation, please contact Maricela Santana.
Employee Photo Release Form if you are going to submit pictures of yourself for use on our website and/or promotional materials, please complete and mail or fax the release form to the office.
Client Photo Release Form if you are going to submit pictures of your client for use on our website and/or promotional materials, please have the parent/guardian of your client complete and mail or fax the release form to the office.
Criminal History Self Disclosure (revised 2010)