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Please note background check(s) costs are paid by DMS. Clear FormATTENDANTDATAFORM AttendantInformation Name: First Middle LastPhysicalAddress:Street/Unit#
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Individuals who require attendant services and direct consumer care may need to fill out the attendant data formconsumer direct.
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Attendant data formconsumer direct is a form used to report information about attendants who provide direct care to consumers.
Attendants who provide direct care to consumers are required to file attendant data formconsumer direct.
To fill out attendant data formconsumer direct, individuals must provide information about themselves as attendants and the care they provide to consumers.
The purpose of attendant data formconsumer direct is to track and report information about attendants and the care they provide to consumers.
Information such as the attendant's name, contact information, hours worked, and services provided must be reported on attendant data formconsumer direct.
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