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Home > FMS Policies and Procedures CA > Establishment of Consumers as Employers of Workers > Employer Start Up Packages > Form SS-4, Application for Employer Identification Number

Form SS-4, Application for Employer Identification Number

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Policy: 

F/EA includes IRS Form SS-4, Application for Employer Identification Number, in every employer start up package.

On line 1 of Form SS-4, after listing the employer's name, "HCSR" must be written.  HCSR is the IRS' term for participant employers.  It stands for Home Care Service Recipient.  Line 1 of Form SS-4 should appear like the below:

"John Doe, HHCSR"

Otherwise, Form SS-4 should be completed per the attached example.