Registration forms for agency-specific vendors
Department of Children, Youth & Families and SSPS providers
To submit the updated form, choose one of the following options:
DocuSign™: Fill electronically with a digital signature via DocuSign™.
We’ve updated our DocuSign online forms to the new Web Form process. For more information please visit the Submitting forms with DocuSign™ instructions for more information
- DCYF Provider Registration web form (DocuSign™)
- DCYF Provider Change web form (DocuSign™)
- DCYF Direct Deposit Authorization web form (DocuSign™)
Unfinished/unsigned forms will be voided on the next business day. For guidance see: Submitting forms with DocuSign™
PDF: For download and complete manually.
- DCYF Provider Registration form (PDF)
- DCYF Provider Change form (PDF)
- DCYF Direct Deposit Authorization form (PDF)
Sign with a pen (a "wet signature"). We are unable to accept stamped, inserted, or electronic signatures via this method.
HRMS providers
- HRMS Registration form (PDF)
- HRMS Change form (PDF)
- HRMS Direct Deposit Authorization form (PDF)
Employment Security Department clients
- ESD Client Registration form (PDF)
- ESD Client Change form (PDF)
- ESD Client Direct Deposit Authorization form (PDF)
