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  • Contractor Reporting Form - Iowa Department Of Human Services - Secureapp Dhs State Ia

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Iowa Department of Human Services Centralized Employee Registry Contractor Reporting PAYOR OF INCOME Telephone Number - Federal ID Number Area Code plus Telephone Number FEIN plus 3-digit Iowa location suffix Name Street Address State City Date of Contracted Service Month ZIP Day Year CONTRACTOR Date of Birth Last Name Social Security Number Middle Initial First Name Reporting Requirements Mail this form within 15 days of contract to PO Box 10322.

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To report abuse, neglect, exploitation, or self-neglect of a dependent adult, call 1-800-362-2178. More information is available on the Iowa Department of Human Services' website .

Iowa Medicaid Member Services Toll Free. 1-800-338-8366. Local Des Moines. 515-256-4606. Fax. 515-725-1351.

Take the following steps to report new hires and rehires online through online entry. Log in to the employer website • From the Main Menu, select Report a Newly Hired or Rehired Employee from the Report New Hires section. To report multiple employees, select Multiple Employee or Contractors.

Public HHS records are almost always provided at no cost Public records on the department's web site, https://hhs.iowa.gov.

Iowa Department of Human Services. Provides assistance programs, family services, health care, mental health and disability services for Iowa children and families. The Iowa Department of Human Services makes a positive difference to help Iowans achieve healthy, safe, stable, and self-sufficient lives.

For problems or concerns regarding your local HHS office contact the Central Office at 1-800-972-2017 or by email at contactdhs@dhs.state.ia.us.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232