Get Aapd Aac Provider Application 12-08.doc. Request For Taxpayer Identification Number And Certificate

Completing the AAPD AAC Provider Application 12-08.doc and the corresponding Request for Taxpayer Identification Number and Certificate can be a structured process. This guide provides step-by-step instructions to assist you in filling out the form correctly and efficiently.

Follow the steps to successfully complete the application form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the corporate name and the DBA name. Ensure the details are accurate as they will be used in official communications.
3. Provide the street address and/or PO Box, city, state, and zip code where the agency operates. Make sure the address matches your official registration.
4. Identify the contact person along with their title and phone number. It's essential to have a reliable representative for any follow-up inquiries.
5. Indicate whether this is an initial application or a renewal and attach proof of current licensing or certification as required by the state.
6. Attach documentation of current liability and bonding insurance, and list the counties or cities you are willing to serve.
7. Fill in the minimum qualifications for your agency's personal care aides. Maintain supporting documentation in individual personnel records.
8. Attach a copy of the written job description for agency attendant care personal care aides to ensure compliance with state requirements.
9. Certification: Sign and date where indicated, affirming that statements are true to the best of your knowledge.
10. After completing all fields, save your changes. You can then download, print, or share the document as required.

Ensure to complete and submit your documents online for a smoother application process.