Florida
Florida Participant Direction Option (PDO) - Simply Healthcare
In this section
- Overview
- Program Documents
- Electronic Visit Verification (EVV)
- News
- Contact Information
Program Documents
Payroll Information
Frequently Asked Questions
Direct Service Worker (DSW) Materials
- RT 83
- RT 83 (Español)
- FL Simply DSW Enrollment Packet (2022)
- FL Simply DSW Enrollment Packet Español (2022)
- DSW Informational Packet
- DSW Informational Packet (Español)
- FL Simply Attestation Form (2022)
- FL Simply Attestation Form Español (2022)
- IRS Form W-4 2022
- IRS Form W-4 (Español)
- USCIS Form I-9
- USCIS Form I-9 Instructions
- USCIS Form I 9, Spanish (FOR REFERENCE ONLY)
- USCIS Form I 9 Instructions, Spanish (FOR REFERENCE ONLY)
- Checklist To Complete I-9 Form
- Instructions To Complete I-9 Form
- Rate Change Form
- Rate Change Form (Español)
- Termination Form
- Termination Form (Español)
- Affidavit Of Compliance With Background Screening Requirements
- Privacy Policy Acknowledgement Form
*Some of the above links may take you to third-party operated websites.