Forms For Employees

Residential Services:

  • Water Temperature Log
    –Fill out this form by Awake Overnight Staff every day between 6AM and 7AM.
    Awake Overnight Sleep Log
    –Fill out this form every 2 hours by Awake Overnight Staff between 11PM and 7AM.
    My Daily Task Form
    –All residential staff are required to complete this form by the end of their day’s shift.
    Mileage Log Form
    –Complete this form by the driver of a company vehicle, every time a vehicle is moved
    House Meeting Notes.                                                                                                                                             – Should be completed every Thursday with available staff.                                                                                                                                                                                                                                                                                        
INCIDENT REPORTING FORM   Report Incident NowMedication Error Reporting Form

Health Maintenance Forms:

Monthly Weight Chart 
Bowel Movement Chart.
Seizure Reporting Form

Forms for Meaningful Day Services:

CDS/Virtual Intervention/Employment and Day habilitation Form
-For CDS staff/Virtual staff/employment specialists/job coaches and Day hab counselors

HR Forms:

Leave Request Form

MTTP Training Registration Form

Daily Task