Forms/Formas
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To designate a respite worker, both parties must complete and sign/initial the Parent/Guardian Waiver. The person being designated is to fill out the top of the I-9 and the parent/guardian must complete the CERTIFICATION portion toward the bottom. The person being designated must complete the W-4. A copy of a signed Social Security card or other documentation matching the person's name to the Social Security number must be included. The original forms must be received by Respite, Inc. before a worker can be paid. It is best to submit the forms with a timesheet.
Click on the following underlined titles to open and print forms:
English
Timesheet Instructions
Title 17 Respite Worker Requirements (56792)
Parent/Guardian Waiver - Designate a Respite Worker
Fill in blanks as indicated.
I-9 Employee Eligibility
Parent/Guardian must complete the CERTIFICATION portion on page 4.
W-4 (Federal Withholdings)
A copy of documentation matching the respite worker's name with Social Security number must be included.
Español
Instrucciones
Titulo 17 Requisitos del trabajador/a (56792)
Padre/Custodio renuncia a favor del trabajador/a designado de respiro
Complete los espacios en blanco
I-9 Eligibilidad a empleo
Padre/Custodio debe completar la certificacion en la pagina 4
W-4 Impuestos
Una copia de un documento con el nombre y el numero de seguro social del trabajador/a debe ser incluido.
