W-4 Form
Please download and fill out this form so we, as your employer, can withhold the correct federal income tax from your pay.
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Provider Agreement Form
To access the Individual Support Worker Provider Agreement provided by Minnesota Health Care Programs (MHCP), please download the form below. Once downloaded, kindly fill out the form completely and send it to homecare@avannahealthcare.com.
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PCA Enrollment Application Form
To enroll as an Individual Personal Care Assistant (PCA), please download the form provided below. After downloading the form, kindly complete all the required fields and submit it to homecare@avannahealthcare.com to proceed with the enrollment process.
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2023 PCA Payroll Calendar
Stay informed about important payroll dates and deadlines with our 2023 PCA Payroll Calendar. This calendar provides an overview of the pay periods, payday schedules, and submission deadlines to help you manage your finances effectively.
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Avanna Health Direct Deposit Agreement Form
Streamline your salary payments with the Avanna Health Direct Deposit Agreement Form. By completing this form, you authorize us to deposit your salary directly into your designated bank account.
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Background Study Information Form
Maintaining a safe and secure workplace is our priority, which is why we require all employees to complete the Background Study Information Form. This form collects essential information required for conducting background checks in accordance with legal and regulatory requirements.
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Employee Information Update
Our Employee Information Update Form allows you to provide any necessary updates or changes to your contact details, emergency contacts, or other relevant information. By completing this form, you help us ensure that our records are accurate and enable us to reach you promptly with important updates or in case of emergencies.
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Direct Deposit
Please complete the form below. This will serve as your authorization for us to send your salary to your bank account.
Form here…
Timecards
Send us your work details throughout your shift, from beginning to end, through this timecard.
Form here…