Get P-00825 - Wisconsin Department Of Health Services - State Of ...

Filling out the P-00825 form for the Wisconsin Department of Health Services is an important process for providers interested in offering Fiscal Employer Agent services. This guide will lead you through the necessary steps to complete this form online, ensuring that all information is accurately captured and submitted.

Follow the steps to successfully complete the form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Carefully read the introduction section of the form. Familiarize yourself with the purpose of the P-00825 and the information it requires.
3. Provide your agency's name and contact details in the designated fields. Make sure to include correct spelling and accurate contact information such as phone number and email address.
4. Fill out the executive summary section by articulating your agency's philosophy, goals, and service model. Ensure it aligns with IRIS core principles.
5. Complete the submission requirements section. Include both the hard copy and digital components required for submission, ensuring they are labeled appropriately.
6. Provide the necessary financial information to demonstrate compliance with fiscal criteria, including your three-year business plan and working capital specifications.
7. Address questions regarding organizational structure and governance, including information about your Board of Directors and any conflict of interest policies.
8. Review all sections for completeness and accuracy before the final submission. Ensure that no required field is left blank.
9. Once all fields are completed and verified, save your changes and prepare your form for submission. You may download, print, or share the completed document as needed.

Complete the P-00825 form online today and take the first step in becoming a certified Fiscal Employer Agent.