Human Resources Center, Inc.

Serving & Supporting Individuals with Disabilities in NEPA since 1973.

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Home and Community Based Service Forms

Forms may be completed on your computer however please NOTE that ALL forms MUST be printed and SIGNED before submitting.  

Human Resources Center, Inc. Effort Office

All signed invoices must be recieved in our office by the Fifth (5th) of each month.

Parent Hab Invoices 

Sept 2017 Primary.pdf
Sept 2017 Primary.pdf
Jan 2018 Primary.pdf
Jan 2018 Primary.pdf
Oct 2017 Primary.pdf
Oct 2017 Primary.pdf
Feb 2018 Primary.pdf
Feb 2018 Primary.pdf
Nov 2017 Primary.pdf
Nov 2017 Primary.pdf
March 2018 Primary.pdf
March 2018 Primary.pdf
Dec 2017 Primary.pdf
Dec 2017 Primary.pdf
April 2018 Primary.pdf
April 2018 Primary.pdf

Multi-Shift Employee Invoices

September 2017 Multi Shift.pdf
September 2017 Multi Shift.pdf
Jan 2018.pdf
Jan 2018.pdf
Oct 2017 Multi Shift.pdf
Oct 2017 Multi Shift.pdf
Feb 2018.pdf
Feb 2018.pdf
November 2017 Multi Shift.pdf
November 2017 Multi Shift.pdf
March 2018.pdf
March 2018.pdf
December 2017 Multi Shift.pdf
December 2017 Multi Shift.pdf
April 2018.pdf
April 2018.pdf

Employee HBW Invoices

Jan 2018.pdf
Jan 2018.pdf
May 2018.pdf
May 2018.pdf
June 2018.pdf
June 2018.pdf
Feb 2018.pdf
Feb 2018.pdf
July 2018.pdf
July 2018.pdf
March 2018.pdf
March 2018.pdf
August 2018.pdf
August 2018.pdf
April 2018.pdf
April 2018.pdf
Sept 2018 2018.pdf
Sept 2018 2018.pdf
Oct 2018.pdf
Oct 2018.pdf

Transportation Forms

Transportation Invoice 6 wk - $.54 a mile.pdf
Transportation Invoice 6 wk - $.54 a mile.pdf
Jan '18 Transportation.pdf
Jan '18 Transportation.pdf
Feb '18  Transportation.pdf
Feb '18 Transportation.pdf
Mar '18  Transportation.pdf
Mar '18 Transportation.pdf
April '18 Transportation.pdf
April '18 Transportation.pdf
May '18 Transportation.pdf
May '18 Transportation.pdf
June '18 Transportation.pdf
June '18 Transportation.pdf
July '18 Transportation.pdf
July '18 Transportation.pdf
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    Our Locations

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    Main Office

    294 Bethel School Rd., Honesdale PA 18431

    Tel: 570.253.3782 | Fax: 570.253.1041

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    Pike County Office

    117 Pike County Blvd., Hawley PA 18428

    Tel: 570.775.6144 | Fax: 570.775.6165

     

    Effort Office

    231 Service Rd., Effort PA 18330

    Tel: 570.872.9956 | Fax 570-872-9959

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    Honesdale Office

    1006 Church St., Honesdale PA 18431

    Tel: 570.253.3782 | Fax: 570.253.1041