320.253.0765 Hello@ConnectAbilityMN.org
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ConnectAbility of MN
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Service Providers

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CHORE SERVICES PROVIDERS

Chore Provider Introduction Letter
W-9 Form
HIPAA Confidentiality Agreement
Sales Tax Exempt Form (ST3 Form)
Chore Services Provider Information Intake form
Invoice Upload Portal
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HOME MODIFICATION SUB-CONTRACTORS

Sub-Contractor Introduction Letter
W-9 Form
HIPAA Confidentiality Agreement
Sales Tax Exempt Form (ST3 Form)
Sub-Contractor Information Intake Form
Invoice Upload Portal
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TRANSPORTATION PROVIDERS

Transportation Provider Introduction Letter
HIPAA Confidentiality Agreement
W-9 Form
Sales Tax Exempt Form (ST3 Form)
Transportation Provider Information Intake Form
Invoice Upload Portal

To return your signed documents we have four options:

 

Mail: 2901 3rd St S Waite Park, MN 56387

Fax: 320-217-2020

Email:

  • Transportation@ConnectAbilityMN.org
  • Chore@ConnectAbilityMN.org
  • Coordinator@ConnectAbilityMN.org

Upload: Upload the forms through our secure portal. COMING SOON

ConnectAbility of MN

 

Central Office:

2901 3rd St S Waite Park, MN 56387

320-253-0765

Hello@ConnectAbilityMN.org

 

North Office:

4815 Burning Tree Rd, Suite 200, Duluth MN 55811

218-316-7480

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  • Service Providers
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