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Wed. Thu. Fri. Sat. PCA Last 4 Digits of SSN Tot. Day/Eve Hours Tot. Night Hrs 6AM to Midnight Midnight-6AM Time Out AM PM PCA Name Print 10989 Payroll Period From Please note that Tempus pays the PCA Total Week 1 based on daily not weekly totals. Sign up for electronic timesheets FAST EASY ACCURATE timesheets. tempusunlimited.org TEMPUS UNLIMITED INC. Consumer/Surrogate Signature MassHealth PCA services to the consumer during the times described on this activity form. PCA. By signing below I...
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