EMPLOYER PACKET COVER SHEET

EMPLOYER PACKET COVER SHEET
*Please return this form to Morning Star*
Employer Name: _______________________________
Name of Person Receiving Services:_____________________________
Date of Birth of Person Receiving Services:
Medicaid # of Person Receiving Services:
Please identify which waiver applies: _____ABI
_____CSW
_____ PD
AUT
Are you transitioning to Morning Star from another Fiscal Agent? Yes___ No___
How did you hear about Morning Star / Why did you choose Morning Star?
The following forms need to be completed and returned to Morning Star.
Employer Cover Sheet (This form)
Application for Employer Identification Number (Form SS-4) For New Employers ONLY!
Employer/Payer Appointment of Agent (Form 2678)
Tax Information Authorization (Form 8821)
Domestic Employment Status Report (1D)
Morning Star Working Agreement
E-Verify Memorandum of Understanding
The following forms are to be used as resources to you as the Employer. You do not need to
return these forms.
•
Payroll Schedule
•
Child Labor Laws
•
Recruiting and Interviewing
•
Sample Interview Questions
•
How Much Can I Pay My Staff?
•
Instructions for Filling Out the Utah Timesheet
•
Blank Timesheet Form -- Use this form to make copies of Timesheets for your employee(s)
•
Application for Employment – Use this form to gather data from your employee(s) to keep on
file in your personal employer records