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PICHH TIMESHEET
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* Indicates required question
Email
*
Your answer
DCW Name
*
Your answer
Your answer
Consumer Name
*
Your answer
Location
*
Your answer
Date
*
MM
/
DD
/
YYYY
Start Time
*
Time
:
AM
PM
End Time
*
Time
:
AM
PM
Duties Performed
*
Bathing
Hair Care
Personal Care
Assist with dressing
Hygiene
Meal Prep
Light housekeeping
Laundry
Required
Reason timesheet is needed
Clocked in or out late
Clocked in or out early
Missed clock in or out
No duties registered
GPS out of range
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