Dhia mus rau cov ntsiab lus​​ 
Tsev Kev Qhia Txog Daim Ntawv Thov Kev Kho Mob Kev Them Nyiaj Rau Cov Neeg Ua Haujlwm Kom Ruaj Khoov ​​ 

Kev Qhia Txog Daim Ntawv Thov Kev Kho Mob Kev Them Nyiaj Rau Cov Neeg Ua Haujlwm Kom Ruaj Khoov​​  

Kev taw qhia daim ntawv thov yog npaj rau cov tsev kho mob tsim nyog uas tau sau npe ua tiav rau Clinic Workforce Stabilization Retention Payments (CWSRP). Txhua lub tsev kho mob tsim nyog yuav tsum tau sau npe ua ntej thov cov nyiaj tuav pov hwm sawv cev ntawm lawv cov neeg ua haujlwm tsim nyog, ncaj qha.​​  

Yog tias koj tseem tsis tau sau npe rau CWSRP, thov mus saib ntawm CWSRP lub vev xaib rau cov kev sib txuas rau kev sau npe thiab txhawb kev taw qhia. Hnub kawg ntawm kev sau npe yog Lub Kaum Ob Hlis 28, 2022.
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Kev tso npe rau CWSRP tam sim no raug kaw. Yog tias koj muaj lus nug txog kev sau npe, thov xa email mus rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) ntawm CWSRP@dhcs.ca.gov.
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Kev taw qhia dav dav:​​ 

  • Thaum Lub Kaum Ob Hlis Ntuj 29 2022
    hnub tim , , txhua lub chaw kho mob uas tau sau npe ua tiav yuav tau txais qhov txuas mus rau daim ntawv thov rau kev xa cov ntaub ntawv ncaj qha rau cov neeg ua haujlwm tsim nyog. Yog koj sau npe rau hnub tim 2, 3, lossis ua ntej lub Kaum Ob Hlis Ntuj hnub tim 28, 2022, cov chaw kho mob uas tsim nyog yuav tau txais qhov txuas mus rau daim ntawv thov thaum koj daim ntawv sau npe tau raug lees txais.​​ 

  • Yog tias nws tau ntau tshaj tsib hnub ua haujlwm txij li thaum koj tau sau npe, thiab koj tsis tau txais email lees paub tias koj tau sau npe tiav thiab/lossis koj tsis tshwm sim hauv daim ntawv teev npe uas tau sau npe tiav, thov xa email rau DHCS ntawm
    CWSRP@dhcs.ca.gov thiab muab "Qhov Txuas Daim Ntawv Thov Uas Tsis Tau Pom" tso rau hauv kab ntawv kawm.​​ 

  • Daim ntawv thov txuas thiab tag nrho cov kev sib txuas lus txuas ntxiv yuav raug xa mus rau email chaw nyob muab los ntawm tus neeg sau npe thaum lub sijhawm sau npe.​​ 

  • Txhawm rau pib daim ntawv thov, koj yuav tsum lees txais Cov Lus Qhia Tshaj Tawm thiab Tsis Pub Leej Twg Paub.​​ 

  • DHCS yuav lees txais ib daim ntawv thov kev tso npe ua tiav. Yog tias koj yog ib feem ntawm cov kab ke kev noj qab haus huv loj uas tau xa ib daim ntawv teev npe rau tag nrho cov chaw kho mob tsim nyog, koj yuav tsum xa ib daim ntawv thov mus rau account rau tag nrho cov neeg ua haujlwm tsim nyog.​​ 

  • Koj yuav tsum sau thiab xa tag nrho cov ntaub ntawv tus neeg ua haujlwm tsim nyog siv tus qauv Excel pom zoo (saib hauv qab) muab los ntawm DHCS. Cov qauv kawg yuav tsum tau hloov mus rau PDF ua ntej xa.​​ 

  • Xa mus rau cov lus qhia kom paub meej txog yuav ua li cas khaws cov Excel ua tiav ua PDF. Cov ntaub ntawv khaws tseg PDF yuav tsum tau muab tso rau hauv daim ntawv thov uas tau thov kom ua li ntawd.​​  

  • Txhawm rau ua kom tiav koj qhov kev xa tawm, koj yuav tsum nyeem thiab lees txais cov ntawv pov thawj los ntawm kev sau koj lub npe thiab lub xeem nrog rau koj lub npe.​​ 

  • Tom qab xa daim ntawv thov, koj yuav tau txais email los ntawm DHCS (DoNotReplyWRP@dhcs.ca.gov) txawm tias lees paub tias daim ntawv thov tau txais lossis txheeb xyuas cov ntaub ntawv ntxiv tseem yuav tsum tau ua. Yog xav paub ntxiv lossis kho, koj tuaj yeem xa daim ntawv thov rov qab thiab xa tag nrho Excel template ua PDF dua, suav nrog cov ntsiab lus kho.​​ 

  • Txhua daim ntawv thov yuav tsum xa tsis pub dhau 5 teev tsaus ntuj (PST) thaum Lub Ib Hlis 27, 2023. DHCS txhawb kev xa ntawv ntxov kom muaj sijhawm txaus rau kev lees paub thiab ua tiav ua ntej hnub kawg ntawm daim ntawv thov.​​ 

Tej yam uas yuav tsum paub ua ntej koj pib:​​ 

  • Thov qhib koj lub browser kom txog thaum koj ua tiav daim ntawv thov.
    Yog tias koj kaw koj lub browser ua ntej ua tiav, koj yuav tsum pib dua txij thaum pib.​​ 

  • You must click ‘Next’ on most pages to continue to the next page.​​ 

  • You can return to the previous page by clicking ‘Prev’.​​ 

Cov ntaub ntawv thiab cov ntaub ntawv los sau ua ntej pib txheej txheem thov:​​ 

  • Tus Naj Npawb Tax Identification Number (TIN) lossis Tsoom Fwv Teb Chaws Tus Kheej Tus Kheej (FEIN) tau muab thaum lub sijhawm sau npe.​​ 

  • Tag nrho cov ntaub ntawv xav tau ntawm cov neeg ua haujlwm; xa mus rau cov neeg ua haujlwm template cov ntaub ntawv teb seem hauv qab no.​​ 

Ua kom tiav Excel template:​​ 

  • Txhua lub tsev kho mob uas tsim nyog yuav tsum muab cov ntaub ntawv rau cov neeg ua haujlwm ntawm DHCS cov qauv muab.​​ 

  • Thov nco ntsoov: tsis txhob hloov kho rau kab lossis kab. Yog tias hloov kho rau kab lossis kab, nws tuaj yeem ncua kev ua haujlwm lossis ua rau tsis lees txais daim ntawv thov.​​ 

  • Cov ntaub ntawv hauv qab no suav nrog hauv Excel template thiab xav tau.​​ 

Cov neeg ua haujlwm Template:​​ 

Lub npe teb​​  xav tau​​  Txhais​​ 
Eligible Employee Name – First​​ Yog lawm​​ 
Thawj lub npe ntawm tus neeg ua haujlwm los ntawm lub koom haum raws li nws tshwm hauv W2.​​ 
Eligible Employee Name – Last​​ Yog lawm​​ 
Lub xeem lub npe ntawm tus neeg ua hauj lwm los ntawm lub koom haum raws li nws tshwm nyob rau hauv W2.​​ 
4-tus lej kawg ntawm SSN/ITIN​​ Yog lawm​​ Last four digits of either the employee’s Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) issued by the IRS.​​ 
Hnub yug​​ Yog lawm​​ Hnub tim hom ntawv yuav tsum ua raws MM/DD/YYYY.​​ 
Chaw nyob​​ Yog lawm​​ Must reflect as it appears on the employee’s W2.​​ 
Lub nroog​​ Yog lawm​​ Must reflect as it appears on the employee’s W2.​​ 
Xeev​​ Yog lawm​​ Must reflect as it appears on the employee’s W2. Two alpha characters.​​ 
ZIP​​ Yog lawm​​ Must reflect as it appears on the employee’s W2.​​ 
Kev Sau Npe, Daim Ntawv Tso Cai, lossis Daim Ntawv Pov Thawj, yog tias muaj​​ Tsis muaj​​ 

Ib daim ntawv tso cai ua haujlwm lossis daim ntawv pov thawj tus lej (piv txwv li, Daim Ntawv Tso Cai Saib Xyuas Neeg Mob, Daim Ntawv Tso Cai Kho Mob).​​ 

Thaum cov template tau ua tiav nrog tag nrho cov ntaub ntawv xav tau, thov xa mus rau cov lus qhia rau cov ntsiab lus ntawm kev hloov Excel template rau PDF ntaub ntawv los upload thiab xa nrog daim ntawv thov. 
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