TAP VDHCBS Forms

 

 

Employee Enrollment Packet

  1. Complete an enrollment packet online

  2. Generate a prefilled packet to print

  3. Print a blank packet

  4. Upload documents to the secure upload

Employee Individual Forms

  1. Employee Packet Checklist

  2. Employee Packet Instructions

  3. Welcome Letter

  4. Roles & Information

  5. Change Notice

  6. Payroll Schedule

  7. Utah Provider Code of Conduct Certificate of Understanding and Compliance

  8. Morning Sun Financial Services Tax Information Questionnaire Form

  9. USCIS Form I-9 Employment Eligibility Verification

  10. Federal W-4 Form

  11. Direct Deposit/ Pay Card Form

Employer Enrollment Packet

  1. Complete an enrollment packet online

  2. Generate a prefilled packet to print

  3. Print a blank packet

  4. Upload documents to the secure upload

Employer Individual Forms

  1. Employer Packet Checklist

  2. Welcome Letter

  3. Roles & Information

  4. Responsibilities & Services

  5. Guide to Employer and Employee Forms

  6. Working Agreement

  7. Consent for the Release of Information

  8. EVV Data Information Form

  9. Online Expense Summary Enrollment

  10. Child Labor Laws

  11. Payroll Schedule

  12. Utah Department of Workforce Services Business Registration Information

  13. E-Verify Memorandum of Understanding (MOU)

  14. Federal Application for Employer Identification Number (SS-4)

  15. Federal Tax Information Authorization (8821)

  16. Federal Employee/Payer Appointment of Agent (2678)

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