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EPAS 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:
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.
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Payroll Schedule
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Child Labor Laws
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Recruiting and Interviewing
•
Sample Interview Questions
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Instructions for Filling Out the Timesheet
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Blank Timesheet Form -- Use this form to make copies of Timesheets for your employee(s)
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Application for Employment – Use this form to gather data from your employee(s) to keep on
file in your personal employer records