Please note that the forms provided here are for the use of Home Share Providers contracting directly with Community Connections Support Services. If you contract directly with CLBC, please contact their office or website for information on forms.
Personal Items Inventory Checklist
Billing Form – Blank paper form to be printed/ filled out and mailed to us
Online submission of billing form: Click here to fill out your billing form/ respite usage online.
Confidentiality Agreement for Respite
* Please note that this agreement represents a contract between Home Share Provider and Respite Provider. It in no way demonstrates a relationship between CCSS and Respite Providers.
4 Replies to “Forms”
The billing form is a .exe file. My Mac can do nothing with it. Does it come in another version? Thanks.
Hi Barry (and all you mac users!)
I’d be happy to send you a fillable .pdf instead. Please send me an email and I’ll get one to you.
What happened to the online billing form for contract providers?
Only one I can find is pdf to be mailed and it is outdated.
Hi Wilma: We’ve been making a lot of changes to the website and you can find the new billing form here.