New Participant Enrollment

Welcome to Veridian – we are happy you decided to become a participant of the North Dakota program and self-direct your waiver services. Once you have determined if you will be the employer of record or if you will appoint a representative, we start to get you enrolled.

Will you be receiving services? Will you also be the employer of record?
If you answered yes to both questions, then you will complete all of the forms for the employer and participant.

Will you be receiving services? Have you appointed someone else as the employer of record?
If you answered yes to both questions, your employer of record will complete all of the forms for the employer of record and you will complete only the participant forms.

Are you hiring employees who will be paid using program funds?
Each employee you hire must submit an enrollment packet to Veridian. Please do not allow your employee to begin working until he/she has been successfully enrolled and you have been notified by Veridian. To obtain an employee enrollment packet, click here.

If you have a question about the enrollment forms, please contact us.