Palmetto GBA: , Licensed Independent Social Worker
        
Palmetto GBA Logo CMS Logo
        


  You may change your answers at any time, or simply start over.

A. Will the enrollee be using a Social Security number as the federal tax identification number?




Acrobat Reader is required to view some documents. Acrobat Reader is a free software package that lets you view and print Adobe Portable Document Format (PDF) files on all major computer platforms. Please download Adobe Acrobat Reader at www.adobe.com/products/acrobat/readstep2.html if you do not have it.