Consumer Forms and Other Resources

UCP/CLASS will assist the Consumer Employer with the management of their employees from recruiting to termination.

Consumer Employer

Please contact your Resource Coordinator with any questions or need help accessing any other forms or resources other than those posted here.

• Application for Employment: Direct Care Worker Application for Employment
  (See Downloadable Forms Below)
• Employee Contact Information: Direct Care Worker Contact Information Change
  (See Downloadable Forms Below)
• Termination Notice: Direct Care Worker Termination Notice
  (See Downloadable Forms Below)

Direct Care Worker

Please contact your employer with any questions or need help accessing any other forms or resources other than those posted here.

• 2010 W-4 Employee Withholding Form: www.irs.gov
• 2010 UCP/CLASS Time Sheet and Pay Date Schedule
  (See Downloadable Forms Below)

Other Resources

As other information and needs arise in managing your Individual Service Plan, the Resource Coordinator will work with a consumer’s Service Coordinator to assist the consumer locate additional state and government resources.