ESS-C-225 (2) Record of Hours Worked SE ST (HC) (Rev 2022-09-22)

Form Number: 

ESS-C-225 (2)

The EC will complete the ESS-C-225 (2) Record of Hours SE ST (HC) 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. Documentation of support and training will be filled out each week by the EC. The EC will submit completed forms with the required documentation for payment and retain copies in the individual's case file.


File Origination or Revision Date: 

Revised 2022-09-22