Provider Service Forms

* If you are interested in becoming a Personal Support Worker, below are links to the PSW Information Packet and PSW Application PacketIt is crucial that you read through the PSW Information Packet before completing the Application Packet.

* If you are looking for blank Time Sheets, you can find them by clicking Here. (Note: The eXPRS generated time sheet is required when submission to our office for payment. This document is not acceptable, and is more of a draft).

* If you are looking for blank Mileage Reimbursement Logs, you can find them by clicking Here. (Note: The eXPRS generated mileage log is required when submission to our office for payment. This document is not acceptable, and is more of a draft).

* If you need to file a Incident Report, you can do that by clicking Here.

* If you need to fill out a W4 to update your tax deductions, here is the 2018 W4. This will need to be submitted to Public Partnerships, LLC. directly.

* If you need to fill out an I9 to finalize an employment relationship, here is the I-9 Form. This will need to be submitted to Public Partnerships, LLC. directly.

* If you need to fill out an eXPRS/DHS Employee Change of Information form, you can find it Here.

* If you need to fill out a PEAA (Provider Enrollment Application and Agreement) click Here. Para el Espanol, clic Aqui.

* If you need to fill out an eXPRS UEF (User Enrollment Form) click Here .

* If you need to update your Criminal History Check you can find the form Here. (In order to process you will need to come into the CSI office in person with a valid ID) Para el Espanol, clic Aqui.

* If you need to view the State Payroll Calendar, here is the Public Partnerships, LLC. State Payroll Calendar for 2018.