PDF DCW Unique Identification Number Form

All new Direct Care Workers (DCW) will need to obtain a Unique Identification Number (Unique ID) ... an email in the registry so the Unique ID will be sent to your email for your records. ... Direct Care Worker Signature Date . FAX FORM TO: 1-855-858-8158 or EMAIL TO: padpw-oltl@pcgus.com ... ................
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