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Caregiver Careers & Application Center

Join our compassionate caregiving team and apply online today. Complete the employment inquiry form,
upload your resume, certifications, and identification documents, and our team will review your application promptly.
Applicants will receive confirmation after successful submission.

Step 1 of 15 - Caregiver Employment Application

MM slash DD slash YYYY
Position Applied For
Preferred Work Area
Address
Are you 18 years of age or older?
Are you legally authorized to work in the United States?
Will you now or in the future require sponsorship for
employment?
Position and Employment Preference
MM slash DD slash YYYY
Licenses, Training, and Certifications
Languages Spoken

Compliance Notes and Source References 

  • New York State Tax Department: New hires and rehires employed in New York State must be reported within 20 calendar days from the hiring date.
  • New York State Tax Department: Form IT-2104 is used by employees to instruct the employer on New York State, New York City, and Yonkers withholding.
  • New York State Department of Labor: LS 54 is the Notice and Acknowledgement of Pay Rate and Payday for hourly rate employees under Labor Law Section 195.1.
  • NYC New Hire resources describe I-9 as the federal form used to verify identity and employment authorization and list IT-2104 as the state withholding allowance certificate.

Source links to verify before final implementation: 

https://www.tax.ny.gov/bus/wt/newhire.htm 

https://www.tax.ny.gov/forms/current-forms/it/it2104i.htm 

https://dol.ny.gov/LS54-doc 

https://www.nyc.gov/site/newhire/index.page 

This packet is a business template, not legal advice. CareSolutions Homecare should have payroll/legal counsel review the final packet before hiring employees. 

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