Get Il462 2029

This guide provides a comprehensive overview of the Il462 2029 form, which is used for the Home-Based Support Services (HBS) Service Agreement in Illinois. Follow the steps outlined below to accurately complete the form online, ensuring all necessary information is provided in a clear and organized manner.

Follow the steps to fill out the Il462 2029 form online.

1. Click the ‘Get Form’ button to obtain the Il462 2029 form and open it in your preferred online editor.
2. In the first section, enter the name of the Individual and the Service Provider as required. Ensure that all names spell correctly to avoid any issues.
3. Fill in the term of service by indicating the start date and the end date. If applicable, provide an earlier end date as well.
4. Under the General Provisions, check the boxes confirming that the Service Provider will perform the specific services and comply with relevant regulations.
5. In the Taxpayer Certification section, complete the fields for name, federal taxpayer identification number, and legal status by selecting the appropriate option from the list provided.
6. In the Services and Payment section, include details such as service type, code, maximum units per month, unit rate, and maximum monthly charge.
7. Ensure all individuals' signatures are obtained in the signature section, including dates for each signature. Check for accuracy in the names and roles.
8. Once all information has been entered and reviewed for accuracy, save your changes, and choose to download, print, or share the completed form as needed.

Complete your form online today to ensure timely submission and compliance.