Self-Administered Services - Utah Fiscal Agent | Leonard Consulting LLC

Self-Administered Services (SAS)

Thank you for choosing Leonard Consulting to be your fiscal agent! We appreciate each and every one of our clients and we strive to give you the best possible customer service.

You will find a list of all the forms needed for Self-Administered Services (SAS), 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.

End of the Fiscal Year: All work through June 30, 2021 for DSPD Waivers must be recieved by Leonard Consulting by July 4, 2021.

Employee Forms

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

2-9EA ABI Employment Agreement (ABI 2021) (PDF) *New*
2-9C (ABI 2021) (PDF)

2-9EA SAS Employment Agreement (CSW 2021) *New*
2-9C SAS (CSW 2021) (PDF)

2-9EA SAS Employment Agreement (PDW 2021) (PDF) *New*
2-9C SAS (PDW) (PDF)

5-3 Code of Conduct

Background Screening Form (PDF)
Youth Background Screening Form - Under 18 (PDF)

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

Mileage Log (PDF)

New Hire Checklist (PDF)

How Much Can I Pay Per Hour? (PDF)

Employee Rate Change Form

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



Please contact us with any questions.


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