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Once cleared by Life Patterns and your MCO to receive services, 

you may hire worker(s) by having them APPLY HERE.

Then please CLICK HERE to  learn how to clock in & out, time corrections and about Authenticare.

*** The 5 forms below are the next step for a Family/Individual that would like Life Patterns, Inc to provide Financial Management Service for them.

                    Click on each underlined form, print and complete.

​*** All of the following forms must be completed correctly and submitted to the Life Patterns, Inc. office. Jon Gerdel and/or Teri Goodrich like to meet with each Individual/Family at some point during the application process. 

*** Completed forms can be mailed, faxed or hand delivered. 

1.  FMS Agreement

2.  Form SS-4: Obtain EIN

                 cannot be faxed, must be original.

​3.  Form 2678: Assigns Life Patterns as Agent

4.  KS Business Tax Application Form: Application for employee state withholding

5.  Insurance Verification

6.  Workers Compensation Election

7.  Fraud and Abuse Prevention and Detection Policy

FIRST STEP to RECEIVE SERVICES from LIFE PATTERNS....filling out and returning the application forms below:

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OUTSIDE RESOURCE

​www. RewardingWork.org/Kansas

for personal care and respite workers.

**NOTE that job candidates listed in the Kansas Personal Care Directory have NOT been screened in

any way and their backgrounds have NOT been checked. That will be your responsibility as an employer.