Service Providers

CHORE SERVICES PROVIDERS

We work with individuals and businesses to provide a variety of services such as ongoing snow removal, lawn care, housekeeping and one-time service such as seasonal yard clean up or home decluttering.

To begin the process of applying to be a service provider, please submit the following forms below and review the informational letter.

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

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

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: 2700 1st Street North, suite 200, Saint Cloud, MN 56303

Fax: 320-253-6753

Email:

Upload: Upload the forms through our security portal. CLICK HERE

ConnectAbility of MN

 

Central Office

2700 1st Street North Suite 200, St. Cloud MN 56303

320-253-0765

 

Northern Office

5322 Grant Avenue Suite B, Duluth MN 55807

218-316-7480