ESS-C-225 (1) Record of Hours Worked (Rev. 2021-09-23)

Form Number: 

ESS-C-225 (1)

The EC will complete the ESS-C-225 (1) Record of Hours work for each week the consumer is employed. The documentation will include time spent providing on-site and off-site support and training to the consumer and the time spent making employer contracts. The EC will document specific training/support provided to the consumer. For your convenience, this contains the normal four weeks for most milestones or services. Use additional forms as needed for Employment Milestones or other milestones or services that exceed the normal timeframe.

Document: 

File Origination or Revision Date: 

Revised 2022-09-23