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Western Montana Area VI Agency on Aging

Welcome, We are here to Help!

  • Our Resources
    • Veteran Directed Care (VDC) Program
    • Lake County
    • Lincoln County
    • Mineral County
    • Sanders County
    • Older Americans Act
  • Our Services
    • Benefits Enrollment Center
    • Nutrition Programs
    • Information and Assistance
    • Options Counseling
    • Long-Term Care Ombudsman Services
    • Tax Assistance
    • Veterans Directed Care (VDC) Fast Facts Covering Northwest Montana and Northern Idaho
  • Volunteering
  • Contact Us
  • Current Classes
    • Tai Ji Quan (Tai Chi), Moving for Better Balance classes, GETSETUP
    • Medicare 101
    • Get Social / Get Setup
  • County Resources
    • Lake County Resources
    • Lincoln County Resources
    • Mineral County Resources
    • Sanders County Resources
  • Covid-19 Updates
    • LAKE COUNTY
    • LINCOLN COUNTY
    • MINERAL COUNTY
    • SANDERS COUNTY
  • Our Resources
    • - Veteran Directed Care (VDC) Program
    • - Lake County
    • - Lincoln County
    • - Mineral County
    • - Sanders County
    • - Older Americans Act
  • Our Services
    • - Benefits Enrollment Center
    • - Nutrition Programs
    • - Information and Assistance
    • - Options Counseling
    • - Long-Term Care Ombudsman Services
    • - Tax Assistance
    • - Veterans Directed Care (VDC) Fast Facts Covering Northwest Montana and Northern Idaho
  • Volunteering
  • Contact Us
  • Current Classes
    • - Tai Ji Quan (Tai Chi), Moving for Better Balance classes, GETSETUP
    • - Medicare 101
    • - Get Social / Get Setup
  • County Resources
    • - Lake County Resources
    • - Lincoln County Resources
    • - Mineral County Resources
    • - Sanders County Resources
  • Covid-19 Updates
    • - LAKE COUNTY
    • - LINCOLN COUNTY
    • - MINERAL COUNTY
    • - SANDERS COUNTY
Home / Veteran Directed Care (VDC) Program / Downloadable files / Downloadable Forms

Downloadable Forms

  • 1. Personal Care Attendant Instruction Manual
  • 2. PCA Job Description
  • 3. PCA Cover Sheet for Employment
  • 4. NEW Employment Application Fillable
  • 5. NEW Waiver Reference Check VDC Family-Friend
  • 6. Confidential Background Check Authorization
  • 7. Confidentiality Agreement
  • 8. Drug Free Workplace Acknowledgment
  • 9. PCA Emergency Contact Information
  • 10. Employment Agreement
  • 11. IRS Form W-4 2022
  • 11. I-9 paper version
  • 12a. Montana W-4
  • 13. Idaho W-4
  • 14. Direct Deposit Authorization – 406FS
  • 2022 PAYROLL CALENDAR Single Page
  • 2023 PAYROLL CALENDAR Single Page

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Websites for Seniors

  • AARP
  • Cabinet Peaks Medical
  • Elder Care Locator
  • Seniors Guide to Computers.com
  • Senior Living.org
  • Senior Living
  • Love to Know – Seniors
  • National Park Service
  • Suddenly Senior.com

News & Information

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Our Website

  • Our Resources
    • Veteran Directed Care (VDC) Program
    • Lake County
    • Lincoln County
    • Mineral County
    • Sanders County
    • Older Americans Act
  • Our Services
    • Benefits Enrollment Center
    • Nutrition Programs
    • Information and Assistance
    • Options Counseling
    • Long-Term Care Ombudsman Services
    • Tax Assistance
    • Veterans Directed Care (VDC) Fast Facts Covering Northwest Montana and Northern Idaho
  • Volunteering
  • Contact Us
  • Current Classes
    • Tai Ji Quan (Tai Chi), Moving for Better Balance classes, GETSETUP
    • Medicare 101
    • Get Social / Get Setup
  • County Resources
    • Lake County Resources
    • Lincoln County Resources
    • Mineral County Resources
    • Sanders County Resources
  • Covid-19 Updates
    • LAKE COUNTY
    • LINCOLN COUNTY
    • MINERAL COUNTY
    • SANDERS COUNTY

Information and Assistance

Contact Us

Western Montana Area VI Agency on Aging
Polson: 406-883-7284
State Wide: 1-800-266-4188
email: shipline2@a6wm.onmicrosoft.com
110 Main Street, Suite 5 Polson, Montana 59860

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