Application For Employment
The I-9, W-4, and LS54 forms have to be downloaded, printed, and sent to HCS via EMAIL – jhunt@HomeCompanion.com or fax (631) 473-9507 with a live signature / no electronic signature.
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Application Checklist
on JotForm.com
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Application for Employment STEP-01
on JotForm.com
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Health Status form STEP-02
on JotForm.com
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to download and print our
i-9 2023 – 2026 form STEP-03
Send to HCS via email or fax
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to download and print our
i-4 2024 – 2026 form STEP-04
Send to HCS via email or fax
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Background Check form STEP-05
on JotForm.com
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to download and print our
NYS Dept of Labor LS54 form – STEP-06
Send to HCS via email or fax
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
NYS Correction Law form – STEP-07
on JotForm.com
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Personal Reference form – STEP-08
on JotForm.com
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Previous Employer Reference (1) – STEP-09
on JotForm.com
Please CLICK THIS LINK or CLICK THE IMAGE BELOW to fill out our
Previous Employer Reference (2) – STEP-10
on JotForm.com
Reach Us
Servicing all of Nassau and Suffolk Counties, Brooklyn, Queens, Manhattan and the Bronx.
Toll Free: 1-800-473-4427
Phone: 631-473-0700
Fax: 631-473-9507
46 NY-25A
#8
East Setauket, NY 11733
Susan Farrar, Administrator
sfarrar@homecompanion.com
Request home care for your loved one here by inquiring online below.
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