Contract Provider File Checklist

CONTRACT FILE CHECKLIST Contractor Information Date: Contractor Name:

Reports to

Position Title:

Program:

Section

Documentation

Original Update Update Date ADMINISTRATIVE DOCUMENTATION

1

Contract File Checklist

1

Contract Data Form

1

Copy of Driver’s License (as appropriate)

1

SS Card or W9

1

Background Check

1

Request for JOIS Access

1

Code of Conduct/Code of Ethics/ Certification of Compliance

1

Absence Notices

Update

Update

Update

1 1 CONTRACTS/CORRECTIVE ACTIONS 2

Contracts

2

CAP’s, Letters of Concerns, etc

2

Job Description.

2

Resume/Recommendations/References

2

Reviews LICENSURE/CERTIFICATION/EDUCATION/PROFESSIONAL INSURANCE

3

License

3

Certifications

3

Degree(not required if licensed)

3

HS Diploma (if not degreed)

3

Professional Insurance MISCELLANEOUS

4 4 4 4 TRAINING 5

Trainings

6

Training Register

BF800--Contract File Checklist

Est MAR2008