Veteran Directed Home and 2025

1. Click ‘Get Form’ to open the Veteran Directed Home and document in the editor.
2. Begin with the Participant Enrollment Information section. Fill in the participant's name, Social Security Number (SSN), date of birth, gender, and contact information. Ensure all fields are completed accurately.
3. If applicable, complete the Designation of Representative form. Provide necessary details about the representative and ensure they sign where indicated.
4. Proceed to fill out IRS Forms SS-4, 2678, and 8821 as required. Follow highlighted instructions for each line to ensure compliance with tax regulations.
5. Complete the Authorization Agreement by signing and dating it at the designated areas. This grants Palco authority to act on your behalf regarding fiscal responsibilities.
6. Review all forms for completeness before submitting them via fax or email as instructed. Remember that incomplete submissions may delay processing.

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