ESS-C-225—Record of Hours Worked (Rev. 2021-09-01)

Form Number: 

ESS-C-225

The EC will complete the ESS-C-225 Record of Hours work for each week the consumer is employed. The documentation will include time spent providing on-site and off-site supports and training to the consumer and the time spent making employer contracts. The EC will document specific training/supports 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 2021-09-01