Forms for Contracted In-Home Services Partners
- Billing Forms for In-Home, DME, HDM, PERS, and Transportation Providers
- Billing Forms for Chore Providers
- Purchase of Service Monthly Summary Report
Potential Contracted Services Providers
Please contact Jenna Blamer, Contracted Services Coordinator, at 231-733-3524, 231-739-5858, or toll-free, 1-800-442-0054, or firstname.lastname@example.org, for more information on becoming a contracted service provider.
Application Forms for Potential Evidence Based Training Partners
- Combined Notice Request for EB Session Bids_FundingLevel_Standards
- EBHP_Caregiver Training Application Bid Packet
*Contract Application files are 6 to 7 Mb in size. Please allow a few minutes for file to completely download before navigating. More or less time may be requried depending on connection speeds.
*Contract Application files are in PDF format. Please ensure that you have downloaded the latest version of a compatible PDF reader with flash player. A PDF reader without compatible flash player will prevent files from being properly displayed.
Contact for Evidence Based Training Partners: Chere Gardner, Grant Services Manager
Phone: 231-733-3507, 231-739-5858 or Toll Free: 1-800-442-0054