REQUIRED STEPS

 Forms Must Be Filled Out, Saved and Emailed to support@chr501.org

Required Within 48Hours From the Day You Started With CHR 

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 Provide Proof of Community HealthCare Resources as Additional Insured on Your Malpractice (1 Mil/3 Mil)

We understand this may take a week to get back.

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Community HealthCare Resources

2550 Middle Rd Ste #400

Bettendorf, IA 52722

563-447-0772

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Please remember when filling out the forms, Community HealthCare Resources is the Employer and you are the Employee

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Select Your State Tax Form and Email to support@chr501.org

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Not Required In 

AK, CO, FL, ND, NH, NM, NV, PA, SD, TN, TX, UT, WA and WY

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