Therapist Contractor File Requirements
- IRS W-9, click here: www.irs.gov/pub/irs-pdf/fw9.pdf (We also allow W4: https://www.irs.gov/pub/irs-pdf/fw4.pdf)
- Social Security Card (Scan at 200% & lighten image)
- Driver License (Scan at 200% & lighten image)
- Auto Insurance
- Professional License
- Liability Insurance, click here for recommendation: www.hpso.com
- I-9 download here
- MTS application: This file includes the application for employment, background check authorization, I-9 form, W-9 form, The Central Registry of Offenders Against Individuals with Developmental Disabilities Employee/Volunteer Consent for Employers to Check Registry, CARI Consent form, Personal Vehicle Use Policy, Employee Authorization for MVR Review, Personal Vehicle Use Agreement, Fingerprint form, and the Physical Form – all provided below:
- CARI Application
- Central Registry Consent Form
- Fingerprinting consent
- Fingerprinting Instructions
- Fingerprinting Locations and Hours
- MTS Application
- MTS Physical
- NJ Universal Fingerprint Form
- Personal Vehicle Use Policy
- NPI Application instructions, download here
- CMS 855I, download here
- CMS 855R download here