Forms

Here are many of the forms you’ll need as a Host Home Provider. All of the forms may be filled out on your computer except for those noted with an asterisk*. Please note, if you are completing the form on your computer, the information you type IS NOT SAVED or stored in any way until you save it on your local computer. Please read the instructions below regarding saving your work.

Instructions for electronic forms:

• Click on the form you need
• Complete the form on your computer
• Save the form to your computer by selecting “Print” and changing the printer option to “Save as PDF”. You will need a PDF reader installed in order to do this. If you don’t wish to save the form after completing it, simply print the form and fax it to us per the instructions, below. Note, the completed form will NOT save if you just hit “Save”.

Send the completed form to Evergreen Service Providers by:

• Emailing the filled out form as an attachment to Deanne.evergreen@comcast.net
• Printing the filled out form and faxing to 303-422-4985

Instructions for non-fillable forms (*):

• Click on the form you need
• Print out the form
• Fill out the form by hand

Send the completed form to Evergreen Service Providers by:

• Scanning, then emailing the file to Deanne.evergreen@comcast.net
• Faxing the form to 303-422-4985

*This form is not an electronic fillable form.