Legacy Home Care, Inc.

Forms

The following are a variety of forms that you may need during your employment with Legacy Home Care. Simply click on the form that you wish to complete, then fill it out and submit it. The appropriate admin team member will be notified when you submit the form!

Availability Change Form

Use this form to let us know if you've had a change in availability.

Contact Information Change Form

Use this form to let us know if you've had a change of address.

Direct Deposit Form

Use this form to let us know if your banking information has changed, or if you'd like to sign up for Direct Deposit.

Shift Switch Form

Use this form to request to switch a shift with a coworker.

Jury Duty Notification Form

Use this form to notify us if you've been summoned for jury duty.

Leave of Absence Notification Form

Use this form to inform us of the details of an upcoming leave of absence.

PTO/Time Off Form

Use this form to request that your PTO time be cashed out.

Request for Payroll Review

Use this form to notify Payroll of any paycheck issues, address changes, or other payroll-related issues.

Skills and Experience Survey

Use this form to tell us about your skills and experience.

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