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20152016 Easter Seals Personal Choice Activity Tracker Employee Name: (Please Print) Employee Number: A completed Personal Tracker form is worth 1 Wellness Point Week 1 Date Activity Minutes Week
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How to fill out 2015-2016 Easter Seals Personal?

01
Obtain the necessary forms: Start by obtaining the 2015-2016 Easter Seals Personal form. This form can usually be obtained from the Easter Seals organization or their website. Make sure you have the most recent version of the form.
02
Gather required information: Before filling out the form, gather all the necessary information that will be required. This may include personal details such as your full name, address, contact information, social security number, and date of birth. Additionally, you may need to gather information about your income, expenses, and any supporting documentation.
03
Read the instructions: Carefully read through the instructions provided with the form. These instructions will guide you on how to correctly fill out each section of the form. Pay attention to any specific requirements or additional documents that might be needed.
04
Start with personal information: Begin by filling out the personal information section. This will typically include your name, address, and contact information. Ensure you provide accurate information to avoid any potential delays or issues.
05
Provide details about income: The next section of the form will usually ask for details about your income. This may include information about your employment, self-employment income, retirement income, or any other sources of income. Fill out the form accurately and provide any necessary documentation as required.
06
Include information about expenses: The form may also have a section dedicated to capturing your expenses. This could include details about your housing costs, transportation expenses, medical expenses, and other relevant expenditures. Be thorough and provide accurate information.
07
Attach supporting documents: Depending on the specific requirements of the form, you may need to attach supporting documents to substantiate the information provided. This could include copies of pay stubs, bank statements, tax returns, or any other documents requested. Make sure to include these documents with your completed form.

Who needs 2015-2016 Easter Seals Personal?

01
Individuals seeking assistance: The 2015-2016 Easter Seals Personal form is typically required for individuals who are seeking financial assistance or services from Easter Seals. This form helps determine eligibility and ensure that resources are appropriately allocated to those in need.
02
Individuals with disabilities: Easter Seals primarily serves individuals with disabilities, including physical, developmental, or cognitive disabilities. If you or someone you know falls within this category and requires support, the 2015-2016 Easter Seals Personal form may be necessary.
03
Caregivers or legal guardians: In some cases, caregivers or legal guardians of individuals with disabilities may need to fill out the 2015-2016 Easter Seals Personal form on behalf of the person they care for. This ensures that the necessary information is provided accurately and completely.
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Easter Seals Personal Choice is a program that provides individuals with disabilities the opportunity to choose their own services and supports.
Individuals with disabilities who are eligible for the program are required to file Easter Seals Personal Choice.
To fill out Easter Seals Personal Choice, individuals must provide information about their disability, desired services, and preferred service providers.
The purpose of Easter Seals Personal Choice is to empower individuals with disabilities to make choices about their services and supports.
Information such as disability status, service preferences, and provider choices must be reported on Easter Seals Personal Choice.
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