Get Contractor Intake Instructions - Washington State Department Of ... - Dshs Wa

Filling out the Contractor Intake Instructions form is a critical step for all new and existing contractors working with the Washington State Department of Social and Health Services. This guide will provide you with clear, step-by-step instructions to help you navigate the form efficiently and ensure that you complete it accurately.

Follow the steps to successfully complete the Contractor Intake Instructions form.

1. Click ‘Get Form’ button to obtain the form and open it in the application.
2. Begin with Section One: Contractor Name/Business Organization. Enter your contractor name as per the identified guidelines. If you are an individual or sole proprietor, use your name as shown on your Social Security card. For other business types, ensure the name matches legal documentation.
3. In the same section, select your business organization. Make sure to check only one option that accurately represents your business type.
4. Provide your Taxpayer Identification Number (TIN). Sole proprietors can use either their Social Security Number (SSN) or Employer Identification Number (EIN). Other business entities should enter their EIN.
5. Continue in Section One by detailing any contracts previously terminated for default, your fiscal year end date, and your state Uniform Business Identifier (UBI) number. Attach a copy of your State Master Business License if applicable.
6. Proceed to Section Two: Contractor Primary Address. Enter your main business address accurately. Include all relevant information such as street name, apartment or suite number, city, state, zip code, email address, and phone number.
7. In Section Three, check any organizational ownership types that apply to your business and provide certification numbers if applicable.
8. Enter the contact person's information in Section Four. List the primary contact's name, job title, and contact information including phone number and email address.
9. For Section Five, provide additional addresses or staff details if relevant. This includes listing any extra contacts for DSHS contracts.
10. Finally, complete Section Six: Contractor Certification by signing the form. Ensure you attach all required supporting documentation such as W-9 forms and proof of non-profit status if necessary. Once complete, save your changes, download or print the form.

Complete the Contractor Intake Instructions form online to ensure timely processing of your contractor application.