State Staffing Daily Report
This is a daily required report for DSHS. Please complete this form by noon each day (including weekends and holidays). This includes all staff "processed" not just who is on duty today. When you hit "Submit" the form will be sent directly back to me.
Date
*
Facility Name
*
Person completing form
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How many contract staff have completed onboarding and are on a work schedule?
All assigned staff are in facility
No change from previous day
Submit
Should be Empty: