Important Documents

Need to enroll, update services, or get paid as a caregiver? Find all required applications, intake packets, waiver forms, timesheets, and update requests here in one simple spot. Download what you need, fill it out on your own time, and reach out if anything is confusing.

Our team can walk you through each form step by step, review for completeness, and help you submit everything correctly so your care moves forward without delay.

Current Employees

Employee Timesheet

Employee Contact Update/Change Form

W2 Request Form

HHAexchange Instructions- Phone

Introduction to HHAExchange- Mobile Application

Downloading and using HHAExchange Mobile Application

Pay Schedule and Paystub Access

Direct Deposit Form

Tuberculosis Risk Assessment and Screening

Annual Caregiver Training Sign Off

Health Insurance Brochure (Password Protected)

Employee Contact Update Form

New Employees

Federal Forms

Form I-9 (Employee completes first page only)

Form W-4

Form 8850: Work Opportunity Tax Credit Pre-screening

Form 9061: Work Opportunity Tax Credit ICF

State of PA Form

Pennsylvania Residency Certification Form (State form)

Company Forms and Materials

Direct Deposit Form

Employee Application

Personal Care Assistant (Caregiver) Job Description

Tuberculosis Risk Assessment and Screening

Reference Check Form

Employee Interview Questions

Verification of Residency (Company Form)

Quiz - Personal Care Assistant

Provisional background check acknowledgement

COVID Declination Form

Employee Handbook (Password Protected)

Employee Handbook Acknowledgement

TRAINING: Annual & Initial For Caregivers