IMPORTANT FORMS

Time Sheet Instructions
Manual Time Sheet download

Manual timesheets are only to be used on specific rare occasions when directed by the ACCENT Administrator. The Electronic Time sheets are to be used on a regular basis.

All days worked between the 1st and the 15th of the month must be mailed to ACCENT by the 16th. All days worked between the 16th and 31st must be on another time sheet and be mailed to ACCENT no later than the first day of the following month.  Time sheets can be delivered, faxed or emailed, however, the original must be mailed as well. If time sheets are not received on a timely basis then paychecks may not be issued until the following pay period. Both the parent and provider must sign the bottom of the time sheet and the parent must initial after every day that is worked. Round each day’s total to the nearest quarter hour. Time sheets must be submitted free from errors and corrections. Please note that respite must be less than 12 hours per calendar day. The State will not pay for more than 11.75 hours. Providers are not permitted to work over 40 hours a week counting from Sunday to the following Saturday. If a time sheet is not received within 40 days of the first day worked on the time sheet the employee may be suspended from working in the future.  It is company policy to follow these time sheet requirements.

Paychecks will normally be received within 10 days of the end of the time period which is either the 10th or the 25th of each month. If the 10th or 25th fall on a weekend or holiday then your pay may be received the following business day.

Employee’s must input their hours on the electronic time card on dddclaims. Please look at the above link for instructions on how to input the hours electronically.

Before working with a family, providers must have the guardian fill out the “Family Information Forms” as well as the Pre-service Provider Orientation. These forms must be signed by both the parent and the provider. ACCENT must have a copy of all of these forms on file before the provider is eligible to start working with the family.

Family Information Forms
Pre-Service Provider Orientation
Agreement to Not Transport Client

If the provider will not be able to drive then they must fill out and return the agreement to not transport.

Transportation Waiver download
Transportation Policy
Grievence, Evaluations, Expectations, Comments Forms
Incident Reports
Information Regarding Incident Reporting

DDD West Email: DDDWestProgressReports@azdes.gov

DDD East Email: DDDEastProgressReports@azdes.gov

Central Phoenix Area Email: DDDCentralProgressReports@azdes.gov

DDD North Email: DDDD3ProviderReports@azdes.gov

DDD South Contact Information: DDD, PO Box 13178, Tucson, AZ 85732-3178

Additional Forms & Instructions

Habilitation Data Instructions
Habilitation Data Form
Habilitation Data Form Sample
Attendant Care Date Form
Physicians Standing Order download file