Toll Free: Toll Free:  877-785-9991
Consumer Direct Care Network Wisconsin
  • About
    • Who We Are
    • Our Brand
    • Our Locations
  • Services
    • Medicaid
    • Private Pay
  • Resources
    • News
    • My Direct Care
    • Provider Directory
    • Brochures and Flyers
    • Work Injury Hotline
    • Fraud Prevention
    • Links
    • Family Care
    • Careers
    • Get Involved
  • Forms
  • Contact

Forms

Complete Enrollment Packets

  • FEA Employee Enrollment Packet (PDF - 2.90 MB)
  • FEA Member Enrollment Packet (PDF - 1.89 MB)
  • CoEmployment Employee Enrollment Packet (PDF - 2.66 MB)
  • CoEmployment Member Enrollment Packet (PDF - 1.18 MB)

Consumer Direct Forms

  • Backup Plan (PDF - 8 KB)
  • Feedback Form (PDF - 114 KB)
  • Employee Job Description (PDF - 141 KB)
  • Status Change Form (PDF - 157 KB)
  • Companionship Services Exemption (PDF - 125 KB)FEA Services
  • Statement of Compliance IRS Notice 2014-7 (PDF - 93 KB)FEA Services
  • Live-In Exemption (PDF - 123 KB)FEA Services

Payroll Related Forms/Instructions

  • 2018 Payroll Calendar (PDF - 139 KB)
  • Pay Selection Form (PDF - 253 KB)
  • US Bank PayCard Fee Schedule (PDF - 300 KB)
  • Timesheet (PDF - 106 KB)
  • Time Sheet Instructions (PDF - 507 KB)
  • Mileage Reimbursement Form (PDF - 163 KB)
  • Vendor Payment Request Form (PDF - 165 KB)
  • Vendor Payment Instructions (PDF - 740 KB)
  • W-4 Form (PDF - 58 KB)

Manuals and Handbooks

  • CoEmployment Member Manual (PDF - 2.54 MB)
  • CoEmployment Caregiver Handbook (PDF - 458 KB)
  • CoEmployment Caregiver Handbook Appendix (PDF - 385 KB)
  • FEA Employer Handbook (PDF - 5.59 MB)

Trainings

  • Abuse/Neglect/Exploitation (PDF - 120 KB)
  • Bloodborne Pathogens Training and Quiz (PDF - 142 KB)
  • Exposure Control Plan (PDF - 122 KB)
  • Fraud Brochure (PDF - 3.71 MB)
  • Fraud Brochure - Spanish (PDF - 3.27 MB)
  • HIPAA Training Guide (PDF - 243 KB)
  • HIPAA Quiz and Confidentiality Agreement (PDF - 122 KB)

Instructions and Guides

  • How to Read Your Payroll Stub and Yearly W2 Earnings Statement (PDF - 113 KB)
  • I-9 Instructions (PDF - 565 KB)
  • Web Portal Registration Instructions for Employees (PDF - 232 KB)
  • Web Portal Registration Instructions for Employers (PDF - 232 KB)
  • Web Portal Instructions (PDF - 1,020 KB)

Other

  • Home Safety Check (PDF - 137 KB)

Forms

Available on this page are forms that you can download and complete as you need them. The forms are grouped in these categories:

  • Complete Packets
  • Consumer Direct Forms
  • Payroll Related Forms/Instructions
  • Trainings
  • Other

If you are unsure on how to complete a form or are unable to find what you need then please contact the Consumer Direct Wisconsin office.

I-9 Assistance

Three video resources are available when working with the new I-9 form. Links are included below:

Form I-9, Employment Eligibility Verification

  • Section One
  • Section Two
  • Section Three

To view the videos online, click here.

 

 

Consumer Direct Wisconsin

744 Ryan Drive, Suite 201
Hudson, WI 54016-7984
infocdwi@consumerdirectcare.com

 877-785-9991  877-785-9992  Visit Care Network

Navigation

  • About
  • Services
  • Resources
  • Forms
  • Contact

© 2018 Consumer Direct Care Network Wisconsin