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Caregivers for E Martin Federal Employer ID # 83-2830998


How to apply

Funded by:

CDASS

(Client Directed/Attendant Support Services)
+
Financial Management Service
Handles FINAL Application Approvals

Time tracking + all payments

Client is Employer!
No home care agencies involved

 

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Download the form

Step 1: Click the button below to download the fillable application form.

Tip: Remember where you downloaded the file, so that you can retrieve it using the Fill & Sign app or software.

Apple: downloads can be found in the files app.

Android: downloads can be found in the File Manager app.

 

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Download Fill & Sign

Step 2: Download the app or software for your device.

Mobile devices need to search for the Adobe Fill & Sign app in the app store.




Google Play Store



PC/Mac users
click the button below to download Adobe Acrobat reader

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Fill in the form

Step 3: Open the form in the app or software that you downloaded to fill in the form.

Open the app or software, if you don't see the PDF form search your downloads files. See tip under download the form.

We have linked a video on our instructions page to walk you through using the app including how to create a signature.

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Email the form & a copy of your photo ID

Step 4: Email the form to E Martin for review.

There are many boxes on this form and it is easy to miss one. 

To save time, email it to E Martin for verification that all boxes have been filled in and so that he can add his signature, before submitting it to Public Partnerships.  He can forward the signed application to PPL.  


Colorado now requires a copy of your photo ID with the application.  

CONTACT ME

E Martin

EM.CDASS@usa.com   Tel: 970-208-5824

contact

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