PDO Simply Healthcare Program Documents - Florida

COVID-19

• Simply Documentation For DSW To Go To Work

Payroll Information

• Payroll Schedule
• PDO Web Portal Guide

Frequently Asked Questions

• Faqs
• WC Claim Reporting Page

Direct Service Worker (DSW) Materials

• RT 83
• RT 83 (Español)
• FL Simply DSW Enrollment Packet
• FL Simply DSW Enrollment Packet Español
• DSW Informational Packet
• DSW Informational Packet (Español)
• Employment Information And Attestation Form
• Employment Information And Attestation Form (Español)
• IRS Form W-4 2021
• IRS W-4 2021 (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

Employer Enrollment Details

• Referral & Status Update
• Employer Information Packet
• Employer Information Packet (Español)
• Employer Instruction Packet
• Employer Instruction Packet (Español)
• Guide To An Existing Employer Identification Number

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