RSVP Caregiver Hour Log
RSVP Volunteer Caregiver Hour Log
Indicates required field
Care Receivers Name
Dates of Care I Service Provided I Hours I Miles of travel
Please note the dates of care, type of volunteer services, your time and the miles traveled to assist the care receiver.
Light Housekeeping / House Repair
Office Work / Fund Raising
Please be sure to list the total amount of time you spent volunteering including from the time you left home until the time you returned. Round up to the half hour. If you want a letter from the RSVP office stating your volunteer mileage for the year, you must record the miles you have driven for each date of volunteer service. We will total all mileage at the end of the year and give you a letter for tax purposes. If you are not tracking mileage, please do not record it.
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PRINTABLE HOUR LOG
RSVP Caregivers Name
RSVP Volunteer Caregivers is a project of the
Western Dairyland Community Action Agency
23122 Whitehall Road - Independence, WI 54747 - 715-985-2391 ext. 1205
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