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How to prepare Form CMS-116
About Form CMS-116
Application Form. Complete the Application for Employment as an Independent Contractor Form, Form CMS-116, with the proper fees and the necessary documents attached as indicated on the form. This application is processed by the CSA and requires two different documents to be uploaded for any given application. First, the applicant must submit his/her name, birthdate, address and social security number (SSN) on the form. The second document is required for the applicant to confirm the employment status listed on Form CMS-116. If the State agency is a State Agency that is a designated agency, you must follow the instructions of your State Agency to upload the following documents required as part of Form CMS-116: 1. Form CMS-117 (Notice of Wage Reduction), if the applicant was laid off. 2. A signed Letter from the designated agency confirming the applicant's eligibility to earn wages through an apprenticeship or similar arrangement. 3. Payment of fees from any qualifying agency or designated agency in accordance with State laws for the filing of Form CMS-117. Note: In order to verify the eligibility for an employee to pursue the wage reduction in accordance with the State Department of Labor regulations, it is recommended that the applicant submit information that is necessary to confirm his/her eligibility for an additional wage reduction. Fees: Fee Description Pay in Full or Partial Fee Information 4.3.5. Form CMS-118. Application Fee Payment Methods: Fee Description Payment in Full or Partial Fee Information 4.3.6. Form CMS-119. Application for Employment Type of Application: Work Permit Fee: Payment Methods: Payee Description Bank Account Payment Description 4.3.7.
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How to complete a CMS 116?
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