Helping you manage your employment

Urgent calls accepted 24/7 | Office hours 8:30 – 12:00 noon, 1:00 pm – 5:00 pm Mon - Fri

POS Hours Used by Client
Parents and Guardians
Please use this form to submit a POS Hours Used by Client Request.

Please note that this option is only for clients enrolled in the full-service care and not the Employer of Record (EOR) service. Call Manos Home Care at 510-536-2900 if you are not sure which service plan you belong to.
The specific FAQ text for this form is not completed. Please go to the Information section of your page and find the appropriate link for your topic. You can also call 510-336-2900 for more information.
 Regional Center Client  First Name   Last Name
  My Name    
 My Email Address  
Relation to Client


Visit Dates From   To
(How it will appear in the report)

Personal Message
Register Email Address
If you have not registered your email address with Manos Home Care, please call 510-336-2900 so we can keep your email address on file to ensure the confidentiality of your information and your action requests.