CILSWKS: Personal Care Attendant Information & Resources


	Personal Care Attendant Information & Resources

Forms

PCA Application for Employment
PCA Policies and Procedures Handbook
Complete PCA Packet
	Included In PCA Packet
1. PCA Coordinator Introduction Cover Letter	Yes
2. PCA Confidential Cover Letter	Yes
3. PCA Form PA-PAR1	Yes
4. W-4: Federal Employee's Witholding Allowance Certificate	Yes
5. K-4: Kansas Employee's Witholding Allowance Certificate	Yes
6. I-9: Federal Employment Eligibility Verification	Yes
7. PCA Employment Agreement	Yes
8. CILSWKS Direct Deposit Form	Yes
9. Kansas Adult Protective Services Release of Information	Yes
10. Kansas Child Abuse and Neglect Central Registry Release of Infomation	Yes
11. PCA Handbook Certificate of Acknowledgement	Yes
12. PCA Letter of Termination	Yes
13. CILSWKS Check Card Request Form - English	Yes
14. CILSWKS Check Card Request Form - Spanish	Yes

Health Insurance Portability and Accountability Act (HIPAA) guidelines are strickly enforced. All information obtained from this resource and employment site are to remain strickly confidential. All violations will be handled to the fullest extent of the law