Submit Human Resources Documentation

The following lists display documentation that is needed from new and existing home care aides. Please find the documents that you are required to fill out and use the links to access them.

New Employees

Existing Employees

Policy Manual Acknowledgement

All MedTec staff are required to acknowledge that they have access to and have reviewed the contents of the MedTec Policy Handbook
Click here to access the Policy Manual Acknowledgment

Emergency Contact

All MedTec staff are required to have an emergency contact on file
Click here to access the Emergency Contact Form

Diploma / Work Verification form

All home care aides are required to submit a diploma (high school or beyond) or a work verification form to show previous homecare experience
Click here to access the Diploma/Work Verification Form

Fingerprinting Request Form

All home care aides are required to conduct fingerprinting to complete background checks for employment. Fingerprinting will require a valid ID and documentation from MedTec to bring to a fingerprinting facility
Click here to access the Fingerprinting Request Form

HIPAA Agreement

All MedTec staff are required to acknowledge that they have reviewed the contents of the MedTec Policy Handbook’s section on Health Information Privacy and agree to its terms
Click here to access the HIPAA Agreement Form

Marketing Agreement

All MedTec staff are required to acknowledge that they have reviewed the contents of MedTec’s policy on employee restrictions on marketing and agree to its terms
Click here to access the Marketing Agreement Form

Signed Job Description

All MedTec homemakers are required to acknowledge that they have reviewed the description of their position and agree to the terms and conditions of their employment
Click here to access the Signed Job Description Form

Drive / No Drive Agreement

All MedTec home care aides are required to disclose whether or not they intend to drive on behalf of the company and if so, required to submit a valid driver’s license and proof of valid auto insurance
Click here to access the Drive/No Drive Agreement

Direct Deposit / Voided Check

MedTec home care aides must set up a direct deposit account in order to receive income and to be eligible for payroll
Click here to access the Direct Deposit / Voided Check Form

Communication Consent

All MedTec home care aides must give consent to be contacted and scheduled for their ongoing work for different clients
Click here to access the Communication Consent Form

W-4 Submission

All MedTec home care aides must submit a W-4 tax statement to be eligible for payroll
Click here to access the W-4 Submission Form

Background Check

All MedTec staff are required to submit information necessary for background checks prior to employment
Click here to access the Background Check Form

I-9 Employment Authorization and ID

All MedTec staff are required to submit information necessary to conduct an I-9 employment authorization check along with a scanned copy of a valid form of identification
Click here to access the I-9 Employment Authorization and ID Form

Forms that are required daily:

Task Documentation

All MedTec home care aides are required to submit a summary of the tasks completed during their service for a client each week
Click here to access the Task Documentation Form

Money Handling

All MedTec home care aides are strongly advised to log any financial transactions using client money with MedTec records for the purposes of their own protection from claims of theft or improper money-handling. Please ensure to complete part one and part two
Click here to access the Money Handling Form part one
Click here to access the Money Handling Form part two

Forms that are required on an ongoing basis

Quarterly Conference

All MedTec home care aides are required to provide feedback on their ability to fulfill their client's plan of care on a quarterly basis. These conference forms are due March 15, June 15, September 15, and December 15 of every year
Click here to access the Quarterly Conference Form

Driving Policy

All MedTec home care aides are required to disclose whether or not they intend to drive or accompany clients in a motorized vehicle and submit requisite documentation. An updated response to the Driving Policy is due on June 15 and December 15 of every year for all homemakers who accompany or transport clients in motorized vehicles
Click here to access the Driving Policy Form

Influenza Vaccine Form

All MedTec home care aides are required to submit an Influenza Vaccine Form every year indicating whether or not they have been vaccinated. Vaccination Forms are due by January 31 every year
Click here to access the Influenza Vaccine Form

Additional Hours Request Form

MedTec home care aides may request additional hours of work depending on their availability via submission of a request form
Click here to access the Additional Hours Request Form