The information contained on this page
is intended for Members receiving CD-PASS
services, employees, Fiscal Management
Service (FMS) Department of LTCA, and
Consumer Directed Agents (CDA) who
are responsible for coordinating CD-PASS
services.
Orientation
Forms
Application and Self-Assessment
for CD-PASS
CDPASS Member Orientation
Guide
Before Hire
(FMS Forms)
Appointment of Agent
Criminal History Information
and Applicant Qualifications Report
Request
Employer Hiring Checklist
Employment Application
Supplement
OSHA Hepatitis B Notice
Liability Notice to
Employees
PSA Application for
Employment
Individual Provider
Agreement
CD-PASS OSDH Nurses
Aide Registry
Notice of Employee
Pay Rates
Acknowledgement of
Employer Training
After Hire (Acumen
Forms)
Authorization for Direct
Deposit
Employee Change / Termination
Form
I-9
I-9 Instructions
Individual Budget Optional
Expense Request Form
W-4
Oklahoma Timesheet
Personal Use
Forms
Documentation of Qualifications
to Provide PSA Services
Documentation of Qualifications
to Provide APSA Services
Job Aids
Confidentiality Agreement
CD-PASS Employee Handbook
Required Information
for Personnel File
Universal Precautions
PSA Agreement of Terms
of Employment
CDA Forms
PSA Scheduling and
Back-Up Plan Form
CD-PASS Consumer Designation
of Authorized Representative Form
FMS Documents
Employer Training Manual
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documents are provided in Adobe Acrobat
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