W-2 Post Interview Forms - NYC
Please submit the following documents at your earliest convenience within two weeks of your interview. If you have any questions, please do not hesitate to reach out.
- New York State License/Certification and/or Registration
- Bilingual Extension (if applicable) - Copy of BEA score or printout from TEACH account
- Annual Medical with PPD and immunizations
- Recommended Vaccination Acknowledgment
- Medicaid #
(if applicable- for SLP’s & Clinical Psychologists) - Continuing Education Workshop certificates
- Three Professional Reference Letters
(MUST include date, phone number & signature) - Form W-4
- IT-2104 State Tax form
- Therapist Referral Form
- Policies and Procedures
- Online forms
(please note an account will need to be created to access trainings)- Compliance Plan Training
- CPSE Waiver (CPSE only)
- Health, Safety & Confidentiality Policies
- NPI Number
- NYC Early Intervention New Provider Orientation
- NY Preschool Code of Conduct (CPSE only)
- Sexual Harassment Training
(submit certificate of completion for credit) - Early Intervention Evaluation, Assessment, and Eligibility Determination
(EI Evaluators only, submit certificate of completion for credit)