Provider Service Forms

Attention Personal Support Worker’s, we now have a secure electronic way to submit your Service Logs. Click the link below for a tutorial on how this works.

In order to access Safe Send click here:

https://creativesupports.safesend.com/DropOff.aspx

  • Fill out all information – your email address which you must be able to check at the time of timesheet submission, and subject line. We recommend writing “Timesheet Submission” in the subject line.
  • Next you can either “drag and drop” your timesheet/mileage log, or if this function is unfamiliar to you, click the section that says upload file.
  • Find the saved PDF you have stored on your device and select it for upload.
  • Once all these steps are complete, you will press “Send File(s)” and will be asked to provide a code to verify your submission.
  • The code will be sent to the email you provided, once you’ve entered the code provided to you via email the electronic timesheet submission will be sent to Creative Supports.

* 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 already approved as a Personal Support Worker through ODDS, but you are interested in working with an individual at Creative Supports, Inc., below is a link to the PSW Transfer Packet. This packet only applies if you have an active SPD Provider ID number and an approved Criminal History Check through ODDS.

* 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 downloading either the Jackson County IR form or the Josephine County IR form. It is important that you call 541-774-8205 (Jackson County) or 541-474-6072 (Josephine County) to report the incident to an Abuse Investigator.

* If you need to fill out a W-4 to update your tax deductions, here is the 2020 W-4. This will need to be submitted to Public Partnerships, LLC. directly.

* If you need to fill out an I-9 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 update your contact information, you will need to fill out the following forms:

  • DHS/ODDS Change of Information form here. This form will need to be submitted to ODDS.
  • Creative Supports, Inc. Contact form here. This form will need to be turned into our office.

* 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 PSW Payroll Calendar for 2020.