Daim ntawv tso cai Clinical Social Worker Application Information
Daim ntawv tso cai
Ua ntej ua ntawv thov rau Medi-Cal, ua ntej mus xyuas California Pawg Thawj Saib Xyuas Kev Coj Tus Cwj Pwm kom ntseeg tau tias koj ua tau raws li tag nrho cov cai ntawm daim ntawv tso cai.
Cov ntaub ntawv xav tau
Tom ntej no, sau cov ntaub ntawv xav tau hauv qab no, raws li tsim nyog, txhawm rau muab lawv tso rau hauv PAVE thaum koj ua tiav koj daim ntawv thov PAVE. Thov xyuas kom meej tias cov ntaub ntawv uas tau muab tso tawm yog pom tseeb.
1. Daim Ntawv Tso Cai Ua Haujlwm Pabcuam Zej Zog Hauv California
2. Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm hauv 50 Tebchaws Meskas lossis Cheeb Tsam ntawm Columbia) ntawm tus neeg muab kev pabcuam, lossis tus neeg kos npe rau daim ntawv thov uas muaj txoj cai khi rau tus neeg thov lossis tus muab kev pabcuam. Daim ntawv kos npe yuav tsum yog tus muab kev pabcuam, tshwj tsis yog tus neeg muab kev pabcuam yog lub koomhaum. Yog tias tus kws kho mob yog ib lub tuam txhab thiab daim ntawv thov yuav raug kos npe los ntawm ib tus neeg uas tsis yog tus muab kev pabcuam, thov xa ib daim ntawv theej ntawm ntu ntawm lub tuam txhab txoj cai lij choj uas txheeb xyuas tus neeg kos npe txoj cai rau kev cai lij choj lub koom haum.
3. Kev txheeb xyuas Tus lej cim tus tswv haujlwm hauv tsoomfwv (FEIN) lossis Tus lej cim tus neeg them se (ITIN), yog tias tsis siv tus lej kev ruaj ntseg hauv zej zog, los ntawm kev xa daim ntawv tsim tawm tam sim no ntawm Internal Revenue Service (IRS). Cov ntaub ntawv uas siv tau tsuas yog muaj xws li Tsab Ntawv 147-C uas IRS tsim, Daim Ntawv 941 uas IRS tsim (Daim Ntawv Se Rov Qab Los Ntawm Tus Tswv Haujlwm), Daim Ntawv 8109-C (Daim Coupon Tso Nyiaj) uas IRS tsim, lossis Daim Ntawv SS-4 uas IRS tsim (tsuas yog Daim Ntawv Ceeb Toom Txog Kev Muab FEIN/ITIN Ua Haujlwm). Lus Cim: Lub npe raug cai ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim lub npe ntawm daim ntawv IRS tsim; thiab tus neeg thov/tus neeg muab kev pabcuam yuav tsum yog tus tswv lossis tus tub ceev xwm ntawm lub koom haum uas teev nyob rau hauv daim ntawv IRS. Yog xav paub ntxiv, thov mus saib IRS lossis hu rau lawv ntawm (800) 829-4933.
4. Local Business License, Tax Certificate, and Permit for any city and/or county where business activities are conducted. Note: The name and business address of the applicant or provider on the application must exactly match the business name and business address on all local licenses and permits. If a business license/permit is not required, please submit a written statement from your local city/county indicating that your business does not require any license or permit. For further information, please contact your city business license office and/or visit the California State Association of Counties and click on the “California’s Counties” link, and select “County Web Sites.”
5. Recorded/stamped Fictitious Business Name Statement (FBNS), issued by the county where the principal place of business is located, if using a fictitious business name AND the business name is different from the legal name on your application. For example, in the case of a corporation, any name other than the corporation name on record with the Secretary of State requires a FBNS. Note: The business name and business address of the applicant or provider on the application, all local business licenses/permits, and the FBNS must exactly match. To determine the applicable county agency where fictitious business names are filed, please visit the California State Association of Counties and click on the “California’s Counties” link, and select “County Web Sites.”
6. Fully executed Partnership Agreement, if your business is a partnership. Processing delays may be avoided by indicating whether the entity is a General Partnership or Limited Partnership and also submitting the following:
a. Rau Kev Sib Koom Tes Hauv General, ib daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj cov paj laum rau txhua tus; los yog
b. Rau Kev Koom Tes Ua Lag Luam Limited, cov ntaub ntawv txheeb xyuas tus khub General, thiab cov npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj cov paj laum rau txhua tus.
Txhawm rau txheeb xyuas lossis hloov lub npe thiab / lossis xwm txheej ntawm koj txoj kev koom tes lossis xav paub ntxiv, thov mus saib Tus Tuav Ntaub Ntawv Hauv Xeev California Kev Lag Luam Portal thiab nyem rau ntawm "California Lag Luam Tshawb Fawb" txuas lossis lwm qhov txuas uas tsim nyog.
7. Yog tias koj lub lag luam yog ib lub tuam txhab kev tshaj lij, kev ua haujlwm qeeb yuav raug zam los ntawm kev xa cov ntawv luam ntawm Cov Ntawv Pov Thawj Ua Haujlwm los ntawm Lub Xeev, thiab cov npe ntawm cov thawj coj thiab cov tub ceev xwm cov npe thiab cov npe, nrog rau feem pua ntawm cov tswv cuab thiab kev tswj hwm. txaus siab rau txhua tus. Txhawm rau txheeb xyuas lossis hloov lub npe thiab / lossis xwm txheej ntawm koj lub tuam txhab lossis xav paub ntxiv, thov mus saib Tus Tuav Ntaub Ntawv ntawm Xeev California Kev Lag Luam Portal thiab nyem rau ntawm "California Lag Luam Tshawb Fawb" txuas lossis lwm qhov txuas uas tsim nyog.
8. Certificate of Commercial Liability Insurance (kev lag luam, kev ua lag luam, lossis kev lav phib xaub, lossis kev tuav pov hwm hauv chaw ua haujlwm) hauv tus nqi tsis pub tsawg dua $ 100,000 rau ib daim ntawv thov thiab qhov tsawg kawg nkaus txhua xyoo ntawm $ 300,000. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Lub npe thiab chaw nyob ua lag luam, suav nrog tus lej suite yog tias tsim nyog, ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim li daim ntawv pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm.
9. Daim Ntawv Pov Thawj Kev Lav Peev Txog Kev Ua Haujlwm uas muaj nqis tsis tsawg dua $100,000 rau ib daim ntawv thov thiab tsawg kawg yog $300,000 txhua xyoo. Daim ntawv pov thawj lees txais tau yog daim ntawv pov thawj pov hwm lossis daim ntawv tshaj tawm uas lub tuam txhab pov hwm muab uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe ntawm tus neeg pov hwm, hnub siv tau, thiab cov kev txwv ntawm kev them nqi. Lus Cim: Lub npe ntawm tus kws kho mob, raws li nws tshwm sim ntawm Daim Ntawv Tso Cai Ua Haujlwm Pabcuam Zej Zog hauv California, kuj yuav tsum qhia rau ntawm qhov kev pov hwm kev lav phib xaub.
10. Certificate of Workers 'Compensation Insurance yog xav tau los ntawm California txoj cai lij choj, yog tias koj lub lag luam muaj ib lossis ntau tus neeg ua haujlwm. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, thiab hnub siv tau. Yog tias tsis muaj kev pov hwm them nyiaj rau Cov Neeg Ua Haujlwm, yuav tsum muaj lus piav qhia. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li cov ntawv pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev pov hwm.
11. Daim Ntawv Cog Lus Xauj Tsev Uas Tau Kos Npe Lawm, yog tias tus neeg thov lossis tus neeg muab kev pab tsis yog tus tswv ntawm cov chaw ua lag luam. Lus Cim: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pab yuav tsum phim lub npe thiab chaw nyob ntawm tus neeg xauj tsev uas nyob rau ntawm daim ntawv cog lus xauj tsev.
12. Kev lav phib xaub ua tiav nrog Daim Ntawv Pom Zoo Sib Koom thiab Ntau Qhov Kev Pom Zoo (DHCS 6217), yog tias muaj.