VOLUNTEER SERVICE DAY REPORTING Use this form for all direct service days where you provided services for a member at their home or remotely when assisting with technology. VOLUNTEER NAME ENTER THE SERVICE DAY NUMBER PROVIDED TO YOU CARE MEMBER NAME CITY ---Cleveland HeightsHighland HeightsLyndhurstMaple HeightsMayfield HeightsMayfield VillageRichmond HeightsSolonSouth Euclid DATE OF SERVICE TIME SPENT(MAX 2 Hours) .511.52 INTERIOR OR EXTERIOR *Check all that apply. InteriorExteriorRemotely SERVICES Battery ChangesKitchen CleanupOrganizationMinor RepairsTech AssistanceTrash RemovalWindow CareYard CareOther NOTES
