Department of Developmental Services (DDS) phone number: 916-654-1987
Para obtener ayuda en Español, llame al (800) 611-4936

ELARC V

Program Website

Participant Employer Form

CA Client & Employer Change Information Form
CA ELARC Statement Sample
CA ELARC V Payment Schedule July 2020 to June 2021
CA ELARC V Request for Payment Form - Daycare
CA ELARC V Request for Payment Form - Transportation
CA ELARC V Show Me the Money
CA ELARC V Timesheet Instructions
CA ELARC V Timesheet
CA Employee Termination Form
Form W-9
Vendor EFT Form
Vendor Paycard Agreement Form

Direct Care Employee Forms

CA Employee Change Information Form
CA Notice to Employees
CA Pay Selection & Direct Deposit Form
Form DE-4
Form W-4

Kern

Program Website

Participant Employer Form

CA Client & Employer Change Information Form
CA Employee Termination Form
CA KERN Timesheet
CA Kern Employee Rate Form
CA Kern Payment Schedule July 2019 to June 2020
CA Kern Show Me the Money
CA Kern Statement Sample
CA Kern Timesheet Instructions
CA Kern Vendor Payment Form
Form W-9
Vendor EFT Form

Direct Care Employee Forms

CA Employee Change Information Form
CA Notice to Employees
CA Pay Selection & Direct Deposit Form
Form DE-4
Form W-4

RCRC

Program Website

Please contact Acumen Fiscal Agent at 480-295-3328 if you are receiving services through the Redwood Coast Regional Center and are interested in learning more about Self Direction.

TCRC V

Program Website

Participant Employer Form

CA Client & Employer Change Information Form
CA Employee Termination Form
CA TCRC V Payment Schedule July 2021 to June 2022
CA TCRC V Request for Payment Form - Daycare
CA TCRC V Request for Payment Form - Transportation
CA TCRC V Show Me the Money
CA TCRC V Statement Sample
CA TCRC V Timesheet Instructions
CA TCRC V Timesheet
Form W-9
Vendor EFT Form
Vendor Paycard agreement form

Direct Care Employee Forms

CA Employee Change Information Form
CA Notice to Employees
CA Pay Selection & Direct Deposit Form
Form DE-4
Form W-4