IRIS Payroll 2017 Payment SchedulePay Period Pay Period Start Date  

Sunday at 12:00 AM

Pay Period End Date Saturday at 11:59 PM

Due Date Pay Date

P1 12/11/16 12/24/16 12/30/16 01/13/17P2 12/25/16 01/07/17 01/13/17 01/27/17P3 01/08/17 01/21/17 01/27/17 02/10/17P4 01/22/17 02/04/17 02/10/17 02/24/17P5 02/05/17 02/18/17 02/24/17 03/10/17P6 02/19/17 03/04/17 03/10/17 03/24/17P7 03/05/17 03/18/17 03/24/17 04/07/17P8 03/19/17 04/01/17 04/07/17 04/21/17P9 04/02/17 04/15/17 04/21/17 05/05/17P10 04/16/17 04/29/17 05/05/17 05/19/17P11 04/30/17 05/13/17 05/19/17 06/02/17P12 05/14/17 05/27/17 06/02/17 06/16/17P13 05/28/17 06/10/17 06/16/17 06/30/17P14 06/11/17 06/24/17 06/30/17 07/14/17P15 06/25/17 07/08/17 07/14/17 07/28/17P16 07/09/17 07/22/17 07/28/17 08/11/17P17 07/23/17 08/05/17 08/11/17 08/25/17P18 08/06/17 08/19/17 08/25/17 09/08/17P19 08/20/17 09/02/17 09/08/17 09/22/17P20 09/03/17 09/16/17 09/22/17 10/06/17P21 09/17/17 09/30/17 10/06/17 10/20/17P22 10/01/17 10/14/17 10/20/17 11/03/17P23 10/15/17 10/28/17 11/03/17 11/17/17P24 10/29/17 11/11/17 11/17/17 12/01/17P25 11/12/17 11/25/17 12/01/17 12/15/17P26 11/26/17 12/09/17 12/15/17 12/29/17

• Please make sure timesheet is complete and correct before submitting to iLIFE.

• Each pay period begins on the listed Sunday at 12:00 AM and ends two weeks later on the listed Saturday at 11:59 PM. 

Glendale Drop Box: 6100 N. Baker Road, Glendale, WI 53209

Milwaukee Drop Box: 2020 W. Wells Street, Milwaukee, WI 53233

Submit Timesheets via:                                 

Email: IRIS.TimeReports@iLIFEfms.com

Fax: 414‐937‐2034

Mail: iLIFE, P.O. Box 91760, Milwaukee, WI 53209

• Timesheets may be submitted from the pay period end date to the due date.

Participant-hired workers may not be paid more than the service amount authorized on the participant's plan.

• Call 1-888-800-5599 to learn more or sign up.

DROP BOXESDon’t have time to wait in line? Drop off your timesheet at one of our drop boxes. Tan iLIFE drop boxes are available in the following locations:

• 2020 W. Wells Street, Milwaukee, WI 53233

• 6100 N. Baker Road, Glendale, WI 53209

When submitting via a drop box, make a copy of the complete timesheet for your records.

iLIFE PORTALSubmitting timesheets is even easier with the iLIFE Portal. Send and review timesheets online, and get up-to-date budget information.

WHEN TO SUBMIT• Timesheets are due by 11:59 p.m. (beforemidnight) on the due date listed on the PayrollPayment Schedule.

• Timesheets that are not submitted on time willnot be paid until the next pay period.

• Submit timesheets after you complete your lastshift of the pay period. Signature dates must beon or after the last day worked.

HOW TO SUBMITSubmit timesheets via drop box or by using any one of the following methods:

• Email to IRIS.TimeReports@iLIFEfms.com

• Mail to P.O. Box 91760, Milwaukee, WI 53209

• Fax to:

HOW TO COMPLETE• Timesheets must be accurate, complete andsubmitted on time.

• Every timesheet must be signed and dated byboth the participant and the participant-hired

worker.

• Every timesheet must include:• Participant-hired worker name (printed)• Participant-hired worker number• Pay Period Begins and Ends dates• Participant name• The days and hours worked• Service codes for hours worked• Total hours worked for each service• Participant-hired worker and participantsignatures (with dates that are on orafter the last day worked on thetimesheet)

Incomplete or illegible forms are not processed for payment until all problems are corrected. If corrections are not received until after the due date, pay is not processed until the next pay period.

• 414-937-2034• 414-908-9237• 414-921-1117• 262-735-0620

• 715-203-0340• 920-227-2580• 888-809-1224

When submitting via fax, keep your fax confirmation page, and note the date and time the form was submitted.

• Drop off in person at 2020 W. Wells Street(Milwaukee, WI) or 6100 N. Baker Road(Glendale, WI) before 4:30 p.m. on the due date.

When submitting via mail, make a copy of thecomplete time report for your records.

If you have questions, please call iLIFE at 1-888-800-5599.

TIMESHEET TIPSEmpower yourself to be successful in 2016 with IRIS and iLIFE.

Timesheet Instructions1. In the time reporting area (on the left):

a. In the Date column, write the dates for each day of the pay period.b. In the Service Code columns, write the service code abbreviation for each service

provided.c. For each day worked, write the total numbers of hours worked for each service in

the appropriate Service Code column.d. In the Total Hours row, write the total hours worked for each Service Code.

2. In the worker/participant information area (on the right):a. Fill in all requested information.

3. The participant-hired worker and participant sign and date the timesheet (at thebottom).

4. Submit the timesheet to iLIFE by the due date.

Marking Instructions• Write in BLACK or BLUE ink only. Do not use pencil.• Write as large as possible without touching the sides of the boxes or extending

outside of them.

Common Service Code Abbreviations

Service Type Timesheet Abbreviation

Supportive Home Care - Routine SHCSupportive Home Care - Supervision SSSupportive Home Care - Companion Care CCSupportive Home Care - Chores CPersonal Care PCRespite R

For a full list of service types and abbreviations, contact your IRIS Consultant.

Guidelines• Hours worked should not exceed authorized hours. IRIS does not guarantee payment

for any hours worked beyond those authorized.• Both the participant employer and participant-hired worker must sign and date the

timesheet. Both signatures must be dated on or after the last day worked.• Record hours for only one pay period per timesheet. For pay period dates, see the

payroll schedule.• Record hours for only one employer/employee per pay period per timesheet. If an

employee works for multiple participants, he/she will need a different timesheet foreach participant employer for each pay period.

• Timesheets must be submitted by the due date listed on the payroll schedule. (This will typically be every other Friday.)

• Please allow 3-5 business days to receive your paper check in the mail. We are unableto process a stop payment request until five (5) business days after the pay date.

CORRECT INCORRECT INCORRECTü û û

Sample Timesheet Area

Dates for that workweek.

Code abbreviation for service provided.

Code abbreviation for next service provided.

Total hours for the service in this column (SHC) for the week.

Total hours for the service in this column (PC) for the week.

Total hours for the service in this column for that day (Sunday, 3/13).

Ways to SubmitEmail: IRIS.TimeReports@iLIFEfms.comMail: iLIFE, P.O. Box 91760, Milwaukee, WI 53209Glendale Drop Box: 6100 N. Baker Road, Glendale WI 53209Milwaukee Drop Box: 2020 W. Wells Street, Milwaukee, WI 53233Fax: 414-937-2034Alternate Fax Numbers: 414-908-9237; 414-921-1117; 262-735-0620; 715-203-0340; 920-227-2580; 888-809-1224

IRIS Participant-Hired Worker Time sheet •

Date Service Code Service Code Service Code Service Code Day of Week MM/DD I I I I I 11 I I I I 11 I I I I 11 I I I I I Sun [IJ;[IJ rn.rn rn.rn rn.rn rn.rn

Participant-Hired Worker Number:

I I I I I I I Mon [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Tue [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Wed [IJ;[IJ rn.rn rn.rn rn.rn rn.rn

Participant-Hired Worker First Name:

I I I I I I I I I I I I I I I I IThu [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Participant-Hired Worker Last Name:

Fri [IJ;[IJ rn.rn rn.rn rn.rn rn.rn I I I I I I I I I I I I I I I I I Sat [IJ;[IJ rn.rn rn.rn rn.rn rn.rnTotal Hours - Week 1 rn.rn rn.rn rn.rn rn.rn

Date Service Code Service Code Service Code Service Code Day of Week MM/DD I I I I I 11 I I I I 11 I I I I 11 I I I I I

Participant First Name:

I I I I I I I I I I I I I I I I I

Participant Last Name:

Sun [IJ;[IJ rn.rn rn.rn rn.rn rn.rn I I I I I I I I I I I I I I I I I Mon [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Tue [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Pay period Begins: (MM/DD/YYYY)

Wed [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Thu [IJ;[IJ rn.rn rn.rn rn.rn rn.rn

ITJ 1ITJ 11 I I I I Pay period Ends: (MM/DD/YYYY)

Fri [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Sat [IJ;[IJ rn.rn rn.rn rn.rn rn.rn Total Hours - Week 2 rn.rn rn.rn rn.rn rn.rn SUBMIT TIMESHEETS: The Participant Employer/Guardian and Participant Hired Worker certify that the information provided on this timesheet is a true and accurate statement of the

services provided. The Participant Employer/Guardian and Participant Hired Worker understand that payment for services provided are subject to pay roll taxes. Fax: 414-937-2034

Participant-Hired Worker Signature:

• Participant Signature:

Date: ITJ /[I] /I I I I ------------MM DD YYYY

Date: [I] /[I] /I I I I

Email: IRIS.TimeReports@iLIFEfms.com

Mail: iLIFE, P.O. Box 91760, Milwaukee, WI 53209

Please call iLIFE at (888) 800-5599 with any questions

on how to complete this form. •

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1 31 41 51 61 71 81 9

S H C P C R3 0 03 0 03 2 53 5 03 0 0

S H C

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1 7 7 5

1 5 7 5

P C

1 0 01 0 0

7 55 0

3 0 0

6 2 5

5 05 0

3 2 51 0 01 0 06 2 5

8 0 08 0 0

1 2 3 4 5 6

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8 0 0

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John Doe

John Smith

J o h n

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J o h n

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3 6 2 0 1 6

3 1 9 2 0 1 6

3 1 9 2 0 1 6

3 2 0 2 0 1 6

•

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Participant-hired workers may not be paid more than the service amount authorized on the participant's plan.