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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F00162A (07/2024)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION DRUG ATTACHMENT FOR LIPOTROPICS, OMEGA3
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How to fill out proof of in-kind hours

How to fill out proof of in-kind hours
01
Make sure to keep accurate records of the hours worked and the specific tasks performed as part of the in-kind contribution.
02
Use a timesheet or log to document the date, hours worked, and a brief description of the work done.
03
Have the supervisor or project manager sign off on the hours worked to validate the in-kind contribution.
04
Calculate the total hours worked and include this information on the proof of in-kind hours form.
05
Submit the proof of in-kind hours form to the relevant organization or entity requesting this documentation.
Who needs proof of in-kind hours?
01
Nonprofit organizations
02
Grant funding agencies
03
Volunteers seeking credit for their contribution
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What is proof of in-kind hours?
Proof of in-kind hours is a document that demonstrates the amount of volunteer time contributed to a project or organization.
Who is required to file proof of in-kind hours?
Individuals or organizations that receive funding or support based on volunteer hours may be required to file proof of in-kind hours.
How to fill out proof of in-kind hours?
Proof of in-kind hours can typically be filled out by recording the date, number of hours volunteered, tasks completed, and signature of the volunteer.
What is the purpose of proof of in-kind hours?
The purpose of proof of in-kind hours is to track and validate the value of volunteer contributions to a project or organization.
What information must be reported on proof of in-kind hours?
Information reported on proof of in-kind hours may include volunteer names, dates of service, tasks performed, and total hours contributed.
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