The Texas Department of Aging and Disability Services form is a document used to outline the work schedule and assigned tasks for employees involved in consumer-directed services. This form helps ensure clarity regarding the duties and hours expected from each employee, promoting effective communication between employers and employees. By detailing tasks and schedules, it supports the overall management of caregiving services in Texas.
The Texas Department of Aging and Disability Services form, specifically Form 1731, plays a crucial role in managing consumer-directed services for individuals requiring assistance. This form is designed to outline the employee's work schedule and the specific tasks assigned to them. It includes sections for recording the employee's name, the purpose of the form, and the activities involved. Users can detail initial tasks and any changes to the schedule, specifying effective dates. The form is divided into two main schedules, Schedule I and Schedule II, where employers can list the days of the week along with the start and end times for each shift. This structure allows for a clear overview of the employee's hours, making it easier to track weekly totals. At the end of the form, both the employer and employee acknowledge the work schedule and assigned tasks by signing and dating the document. This acknowledgment helps ensure that everyone is on the same page regarding work expectations and responsibilities.
Texas Department of Aging
Form 1731
and Disability Services
Consumer Directed Services
January 2007
Employee Work Schedule and Assigned Tasks
Employee Name:
Purpose of Form:
Activity Involved:
Initial
Tasks
Change
Schedule
Effective Date:
Schedule I
Schedule I – Tasks
Day
Time
Total
In
Out
Hours
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Weekly Total Hours
Schedule II
Schedule II – Tasks
Acknowledgment of Work Schedule and Assigned Tasks – Sign and Date:
Signature – Employer
Date
Signature – Employee
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