Pennsylvania
Pennsylvania Office of Long Term Living (OLTL) Program
In this section
- Overview
- Program Documents
- Electronic Visit Verification (EVV)
- Service Coordinators
- News
- Contact Information
Program Documents
COVID-19
- Direct Universal Precautions Video on Effective Hand Washing
- Universal Precautions Video on Putting On & Removing Gloves
- Universal Precautions Video on Using Disinfectant Cleaners
- Universal Precautions Video on Handling Mail & Packages
- Universal Precautions Video on Handling Contaminated Laundry
- Direct Care Worker COVID 19 Essential Personnel Letter
- PA Department of Health Handwashing Poster
- PA Department of Health When to Seek Care
- DCW COVID Vaccine Letter
Form Instructions for DCWs
- Application Request Form Instructions
- Application For Tax Exemptions Instructions
- Child Abuse Release Authorization Instructions
- DCW Change Of Information Instructions
- DCW Info On Nonwithholding (Rev 419) Instructions
- DCW Local Services Tax Exempt Instructions
- Qualified Worker Rate Change Form Instructions
- Fingerprinting Application Instructions
- Form W 4 Instructions
- Payment Change Form Instructions
- Residency Certification Form (CLGS 32 6) Instructions
- State Police Check Instructions
Payroll Information Packet
New DoL, Fair Labor Standards Act
Form Instructions for Participants/CLEs
Workers Compensation
Direct Care Worker (DCW)
- New Direct Care Worker (DCW) Application Request Cover Letter
- New Direct Care Worker (DCW) Application Request Cover Letter, Spanish
- New Direct Care Worker (DCW) Application Request Form
- New Direct Care Worker (DCW) Application Request Form, Spanish
- PA OLTL DCW Web Portal Guide
- Guide To Tax Exemptions
- Guide To Tax Exemptions, Spanish
- IRS Form W-4 2022
- USCIS Form I-9
- USCIS Form I-9 Instructions
- USCIS Form I-9, Spanish (FOR REFERENCE ONLY)
- USCIS Form I-9 Instructions, Spanish (FOR REFERENCE ONLY)
- Checklist To Complete I-9 Form
- Payment Change Form
- Payment Change Form, Spanish
- Local Services Tax Exemption Form
- Tax Exemption Form
- Tax Exemption Form, Spanish
- Employee's Non-withholding Application Certificate (REV 419) 2022
- DCW Change Of Information Form
Find a Care Provider or Find a Job on the Provider Directory
Common Law Employer (CLE)
- PA OLTL Guide For Participants With An Existing Employer Identification Number
- CLE Orientation And Skills Training Handbook
- DCW Requalification Letter
- DCW Requalification Packet
- Designated Representative Form
- CLE Address Phone Change Form
- New Employer Maximum Wage Sheet
- Qualified Worker Rate Change Form
- Qualified Worker Rate Change Form, Spanish
- DCW Separation Of Employment
- Common Law Employer Monthly Reports Instructions For An Aging Participant
- Common Law Employer Monthly Reports Instructions For A Non Aging Participant
Participant Training Materials - NEW
- Participant Web Portal Guide
- Common Law Employer Monthly Reports Instructions For An Aging Participant
- Common Law Employer Monthly Reports Instructions For A Non Aging Participant
- 2021 PA OLTL Year End Letter CHC Participants
- 2021 PA OLTL Year End Letter for OBRA & Act 150 Participants
- CLE Orientation And Skills Training Handbook
- DCW Web Portal Guide
- How To Determine DCWs Maximum Wage
- How Enrollment Works
- OLTL Common Law Employer Best Practices Series Direct Care Workers
- Roles & Responsibilities Of The Common Law Employer
Services My Way
Direct Care Worker Pre-Service Orientation
Direct Care Worker Unique Identification Number - NEW
Important Information for DCW's Difficulty of Care Federal Income Tax Exclusion
Additional Reference Information
*Some of the above links may take you to third-party operated websites.