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You will find a list of all the forms needed for the Medically Complex Children's Waiver (Skill or Routine), to set up a new employer and hire new employees. You will also find a checklist that can help make hiring employees as efficient and stress-free as possible.

Employee Forms

2021 W-4
I-9 (Employee -and- Employer Sign and Complete Pages 1 and 2)

• Remember to submit a photocopy of the employee's current Driver's License and Social Security Card.

Employment Agreement: MCCW

Application for Criminal History Record (Background Check - FOR MCCW ONLY)

Direct Deposit Form (PDF)
Payroll Schedule (PDF)
Time Sheets (PDF)

New Hire Checklist (Skill or Routine) (PDF)

Employer Forms

2678
SS-4 (Enter Employer Social Security Number on 7b)

Grievance Policy (PDF)

Federal Taxes & Live-In Employees (PDF)

Live-In Overtime Exemption (PDF)

EVV/Therap Guide, Training Videos and Information