New PSW Forms - Public Partnerships
PERSONAL SUPPORT WORKER INFORMATION PSW First Name: PSW Last Name: PAYMENT DETAIL INFORMATION (This information is necessary in order to process your payments .) SERVICES AND SET PAY RATES* *State minimum wage is $8.25/hour. If working in the city of Chicago minimum wage is $10.00/hour Service Name PSW Pay Rate Personal Assistance Services (55D) $ ................
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