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內華達消費者直接關懷網路

FORMS

Forms available in Spanish have a 🌐 icon. To view translated versions of these forms, select Spanish from the top menu.

Agency-Based Personal Care Services Caregiver Employment Application

Agency-Based Traditional - Caregiver Enrollment Packet - Spanish

Self-Directed Services Caregiver Enrollment Packet 🌐

2026 Payroll Calendar 🌐

2025 Payroll Calendar 🌐

Pay Selection Form 🌐

Mileage Form

EVV Time Correction/Adjustment Form

Wisely Pay Card Information 🌐

W-4

Form I-9

I-9 Instructions

How to Read Your W-2 🌐

W-2 Frequently Asked Questions

Status Change Form 🌐

Feedback Form 🌐

Terms for Private Pay Accounts