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Consumer Direct Care Network Arizona

FORMS

Please download the relevant forms, print, fill out, and send them to InfoCDAZ@ConsumerDirectCare.com. For any assistance, feel free to contact us.

Certain forms are available in Spanish. Look for the icon and select your preferred language as Spanish from the top menu to view translated versions.

Members/Personal Representatives Forms

SDAC Manual Training Materials

Private Pay Packet

Caregiver Forms

SDAC/FEA Forms

I-9

I-9 Instructions 🌐

Employee Data

Employee Data Form 🌐

Drive / No Drive

Drive Confirmation 🌐

No Drive Confirmation 🌐

FEA Employment Packet

FEA Employee Packet 🌐

FEA Employee Packet Instructions 🌐

Traditional (ABT/AWC) and SEAGO Forms

Employment Application

Employment Application 🌐

Direct Care Worker Annual Review 🌐

I-9

I-9 Instructions 🌐

Direct Care Workforce (DCW) Handbook

DCW Handbook

DCW Handbook Appendix

Criminal History

Criminal History Self Disclosure Affidavit 🌐

Additional Forms and Information

Payroll Related Forms

A-4 (ABT/AWC Employees Only)

W-4

Payroll Calendar 2025 🌐

Pay Selection Form 🌐

Admin Timesheet

Timesheet 🌐

Timesheet Instructions 🌐

Web Portal Time Entry

How to Read Your W-2 🌐

Wisely Pay Card Info 🌐

ADP Registration Instructions

W-2 Frequently Asked Questions

Health Forms

Skin Check Form

Consumer Direct Care Network Arizona

FORMS

Members/Personal Representatives Forms

Caregiver Forms

SDAC/FEA Forms

Traditional (ABT/AWC) and SEAGO Forms

Additional Forms and Information

I want to enroll or help my participant enroll in services.

I want to hire a Caregiver.

I want to enroll as a Caregiver.

I want to submit time.

I’m a Client/Personal Representative

I’m a Caregiver