Get Tx Palco Employer Enrollment Packet - Harris County 2016-2025

Filling out the TX Palco Employer Enrollment Packet is an essential step for employers participating in the Harris County Veteran Directed Home and Community Based Services program. This guide provides clear, step-by-step instructions to help ensure that you successfully complete the packet online.

Follow the steps to complete the enrollment packet online.

1. Click ‘Get Form’ button to obtain the TX Palco Employer Enrollment Packet and open it in your preferred digital format.
2. Begin with the 'Participant Enrollment Information' section. Fill in the participant’s full name, social security number, date of birth, gender, and contact information in the designated fields.
3. If applicable, complete the 'Designation of Representative' form by providing the representative's details, and ensure they sign where required.
4. Complete the IRS Form SS-4 by entering the employer’s name, address, and social security number where indicated. This form enables you to obtain a Federal Employer Identification Number.
5. For the IRS Form 2678, enter the employer’s information as specified and ensure to sign it at the designated area.
6. Fill out IRS Form 8821, providing the necessary information to authorize Palco to communicate with the IRS on your behalf, signing at the bottom.
7. Complete the 'Authorization Agreement', filling in both the participant and employer’s names and signing as necessary.
8. Ensure the 'TWC Form C-42' is filled out accurately and signed by the employer. This form authorizes communication with the Texas Workforce Commission.
9. Sign the 'Employer Service Agreement' after reading it thoroughly, making sure all roles and responsibilities are understood.
10. Review and sign the 'Privacy Practices Notice' to acknowledge awareness of how your personal information will be handled.
11. If you choose direct deposit, complete the 'Direct Deposit Authorization' form, attach the required documentation, and sign at the designated area.
12. Finally, make sure all required forms are included and save your completed packet. You can then download, print, or share it as needed.

Complete your TX Palco Employer Enrollment Packet online today to ensure smooth enrollment in the program.