Get Ddsd Request For Subcontract Approval Form
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How to fill out the DDSD Request for Subcontract Approval Form online
Filling out the DDSD Request for Subcontract Approval Form online is an essential process for agencies seeking approval for subcontractors. This guide provides detailed, step-by-step instructions to assist users in completing the form accurately and efficiently.
Follow the steps to successfully complete the form:
- Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Begin by filling in the 'Requesting Agency' section. Provide the complete address, including state, city, and zip code, as well as the contact person's name and their phone and fax numbers.
- Enter the date the form is submitted to DDSD. Provide the 'Name of Proposed Subcontractor' along with their address and last four digits of their SSN. Include the subcontractor's phone number, city, state, and zip code.
- List any other DD or MF Provider Agencies with which the subcontractor is currently employed or subcontracting. Indicate the employee start date for new hires.
- Answer whether the subcontractor has professional licensure or certification by choosing 'YES' or 'NO.' If yes, provide the licensing agency, license number, and expiration date.
- Indicate whether you would rehire or subcontract with this person by selecting 'Yes' or 'No.' If selecting 'No,' include a reason for this decision.
- In the next section, ensure you complete all required information to prove the subcontractor's compliance with licensing, Medicaid, and DDSD requirements, including insurance, qualifications, experience, and criminal screening clearance.
- Specify the program and service by selecting the appropriate options. In the justification area, briefly describe why your agency cannot perform the required scope of work with existing staff.
- Fill out the effective dates for the subcontract, including start and end dates, along with the financial amount for the subcontract.
- If applicable, mark training sessions that the proposed or renewing BT subcontractor has attended. For those not attended, provide the scheduled dates.
- Finally, ensure the authorized provider signature is included along with the date of review before submitting the completed form.
- Once completed, save your changes, download the file, print it for physical submission, or share it as needed.
Complete your documents online today to ensure a smooth and efficient approval process.
Filling out an independent contractor agreement involves specifying the contractor's name, services, compensation, and project timeline. It is important to clarify the relationship under the agreement to prevent misunderstandings. Make sure to reference the DDSD Request for Subcontract Approval Form if your agreement includes subcontracted work. Utilizing uslegalforms can provide reliable templates to guide you through this process.
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