FW Consulting DHFS OC Employer Packet docx 2025

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The document is a checklist for employers (consumers) provided by FW Consulting DHFS, detailing the necessary information and forms required to initiate services. It includes sections for personal details, service coordinator information, and required documents such as Form 2678 and Form SS-4 for obtaining an Employer Identification Number (EIN). The document emphasizes the importance of hand signatures and provides instructions for submitting completed forms via email.

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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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