703 16th Street • Spirit Lake, IA 51360-1623 • Phone (712) 336-0800 • Fax (877) 81GRAPE (4-7273) • www.grapetree.org
Our forms are located on our website www.grapetree.org under the Resources,
Forms Library.
ALL documents are sent to
Fax(877) 81GRAPE (4-7273)
A confirmation receipt will be sent to you listing all documents received.
For more information contact Credentialing/Compliance Department
(712) 336-0800 Ext. 222
Fresh Staffing Solutions
Forms
Time cards are due by5:00 p.m. on MONDAY
FIRST SHIFT CHECKLIST/TIME SHEET COMPETENCY ASSESSMENT/PERFORMANCE EVALUATION
Used for the first shift at the facility
WEEKLY TIME SHEET
Used after a First Shift at a facility and thereafter
One Time Sheet per Facility per Week
Time Sheets are sent to:
Fax(877) 81GRAPE (4-7273)
A confirmation receipt will be sent to you.
Check with the facility for approval to fax your Time Sheet, agreements have been established to allow faxing.
703 16th Street • Spirit Lake, IA 51360-1623 • Phone (712) 336-0800 • Fax (877) 81GRAPE (4-7273) • www.grapetree.org
Fresh Staffing Solutions
Time Sheets