Get Dshs Form 27 043

Filling out the Dshs Form 27 043 online is a critical step for new and existing contractors wishing to work with the Department of Social and Health Services (DSHS). This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Dshs Form 27 043 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your contractor name as it appears on your legal identification to ensure accuracy. If applicable, mark your business organization type such as individual, non-profit corporation, or foreign entity, based on your situation.
3. Input your Taxpayer Identification Number (TIN). Sole proprietors may use either their Social Security Number (SSN) or Employer Identification Number (EIN). Other business entities must provide their EIN, or in the case of a resident alien without an SSN, their ITIN.
4. Complete the default reported, fiscal year, and business license information. This includes listing any previous contracts with the state that were terminated for default and attaching the necessary documentation.
5. Fill in your contractor's primary address information accurately, ensuring all details like city, state, and zip code are included.
6. Check appropriate boxes under the contractor ownership section that apply to your organization, and provide your certification number if your business is certified as a disadvantaged or minority-owned enterprise.
7. Provide the primary contact person's information including their name, job title, and contact details, ensuring that they are authorized to sign contracts.
8. If applicable, enter any additional addresses and staff details in the additional information section, providing comprehensive details for staff authorized to act on behalf of the business.
9. In the contractor certification section, ensure you sign and date the form before submission. This certification attests to the accuracy of the information provided.
10. Finally, review all entries for accuracy. Save your changes, and then choose to download, print, or share the completed form as required.

Complete the Dshs Form 27 043 online today to streamline your contracting process with the DSHS.