EMPLOYER PACKET COVER SHEET *Please return this form to Morning Star* Employer Name: _______________________________ Name of Person Receiving Services:_____________________________ Date of Birth of Person Receiving Services: Medicaid # of Person Receiving Services: Please identify which waiver applies: _____ABI _____CSW _____ PD AUT Are you transitioning to Morning Star from another Fiscal Agent? Yes___ No___ How did you hear about Morning Star / Why did you choose Morning Star? The following forms need to be completed and returned to Morning Star. Employer Cover Sheet (This form) Application for Employer Identification Number (Form SS-4) For New Employers ONLY! Employer/Payer Appointment of Agent (Form 2678) Tax Information Authorization (Form 8821) Domestic Employment Status Report (1D) Morning Star Working Agreement E-Verify Memorandum of Understanding The following forms are to be used as resources to you as the Employer. You do not need to return these forms. • Payroll Schedule • Child Labor Laws • Recruiting and Interviewing • Sample Interview Questions • How Much Can I Pay My Staff? • Instructions for Filling Out the Utah Timesheet • Blank Timesheet Form -- Use this form to make copies of Timesheets for your employee(s) • Application for Employment – Use this form to gather data from your employee(s) to keep on file in your personal employer records