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FW Consulting DHFS OC Employer Packet docx 2026
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- Click ‘Get Form’ to open the FW Consulting DHFS OC Employer Packet in the editor.
- Begin by entering the Employer (Consumer) Name and Address in the designated fields. Ensure accuracy as this information is crucial for identification.
- Fill in the Date of Birth and Social Security Number. These fields are essential for processing your application.
- Provide your Email Address, which is required for time approval, followed by the Service Coordinator Name and Start Date of Services.
- Indicate whether you would like to be notified of potential Providers in your area by checking 'YES' if applicable.
- Remember that signatures should be made by hand. If you cannot print and scan, use digital signatures only as a last resort.
- Attach any required information such as Form 2678 and Form SS-4 before submitting your completed checklist via email.
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