Hawaii

Participant Employer Forms

HI CDO Employee Enrollment Packet HI CDO Employee Rate Form HI CDO Employer Guide for Success HI CDO July 2022 to June 2023 Payment Schedule HI CDO Request to Reallocate Dollars Form HI CDO Roles & Responsibilities HI CDO Show Me the Money HI CDO Statement Sample HI Client & Employer Change Information Form HI Employee Termination Form

Direct Care Employee Forms

Application for Employment Form HW-4 Form W-4 HI Employee Change Information Form HI Essential Worker Letter Acumen HI Pay Selection and Direct Deposit Form

Participant Employer Forms

Form W-9 HI CLP-PD Employer Guide for Success HI CLP-PD July 2022 to June 2023 Payment Schedule HI CLP-PD Request for Vendor-Reimbursement Payment HI CLP-PD Roles & Responsibilities HI CLP-PD Show Me the Money HI CLP-PD Statement Sample HI Client & Employer Change Information Form HI Employee Termination Form Vendor EFT Form

Direct Care Employee Forms

Application for Employment Employee Information Change Form Form HW-4 Form W-4 HI CLP-PD Timesheet HI Essential Worker Letter Acumen HI Pay Selection and Direct Deposit Form

Participant Employer Forms

Form W-9 HI Client & Employer Change Information Form HI Employee Termination Form HI VDC Employer Guide for Success HI VDC July 2022 to June 2023 Payment Schedule HI VDC Request for Vendor-Reimbursement Payment HI VDC Roles & Responsibilities HI VDC Show Me the Money HI VDC Statement Sample Vendor EFT Form

Direct Care Employee Forms

Application for Employment Form HW-4 Form W-4 HC5 2023 HC5 2022 HC5-2021 HI Employee Change Information Form HI Essential Worker Letter Acumen HI Pay Selection and Direct Deposit Form HI VDC timesheet