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QCI Healthcare | Grand Rapids Office
Phone:
(616) 365-9290
QCI Healthcare | Livnoia Office
Phone:
(248) 888-9030
QCI Healthcare | Kalamazoo Office
Phone:
(269) 353-3327
QCI Healthcare | Lansing Office
Phone:
(517) 679-2670
QCI Healthcare | Orlando Office
Phone:
(407) 794-4156
QCI Healthcare | Clearwater Office
Phone:
(727) 250-0650
Forms
TIMECARDS
Time Card (Facility)
Time Card (Home Care - Weekly)
Time Card (Home Care - Daily with Mileage)
Time Card Correction
Mileage Log
Patient Notes
Timecard Submission Instructions
BENEFITS
Blue Cross Network Reimbursement Form
QCI 401K Summary Plan Description
Enrollment Form 401K (Roth)
Salary Deduction Agreement for contributions to 401k
Short Term Disability Claim Form
2022 (MI Employees)
2022 (Non-MI Employees)
PAYROLL / HR
Direct Deposit Form
Reference Check
Injury Report Form
WC Injury Report Form
Request for Verification of Employment
Home Care - Assignment of Benefits Form
NOVA Mobile
DM-Payroll-Employee-Manual
Fintwist-Debit-Card
FMLA Application
Novatime-Employee-Manual
CORONAVIRUS (COVID-19)
Essential Critical Infrastructure Workforce Notice
COVID-19 Notice
Social Media Reminder
Staff Reminder
World Health Organization Responds to COVID-19
Governor Whitmer Expands Unempoyment
COVID-19 Questions
Essential Critical Infrastructure Workforce Notice
Essential Employee Statement
Essential Worker Thank You
Covid-19 Testing Statement
Medical Release Statement
Physical Exam
Federal Posting Requirements
A Summary of Your Rights Under the Fair Credit Reporting Act
Consumer Credit Protection Act, Title III
Employee Polygraph Protection Act
Employee Rights for Workers with Disabilities
Employee Rights under the Davis Bacon Act
Employee Rights under the Fair Labor Standards Act
Employee Rights under the H2-B Program
Employee Rights under the zNLRA
Equal Employment Opportunity is the Law Poster Supplement
Equal Employment Opportunity is the Law
E-Verify Participation
Family and Medical Leave Act Poster
Immigration and Employee Rights
OSHA Form 300A, Summary of Work Related Injuries and Illnesses
Pay Transparency Nondiscrimination Provision
Reporting and Disclosure Guide for Employee Benefit Plans
Worker Rights Under Executive Order 13658
Worker Rights Under Executive Order 13706
Your Rights under the Energy Reorganization Act
Your Rights under USERRA
Michigan Posting Requirements
Michigan Discrimination Law Poster
Michigan Minimum Wage and Overtime
Michigan MIOSHA Emergency Rules
Michigan Notice to all Employees
Michigan Paid Medical Leave Act
Michigan Safety and Health Protection on the Job Poster
Michigan Whistleblower Protection Act Notice
Michigan Workers Compensation Rights and Responsibilities Poster
Michigan Youth Employment Standards
Requisitos Generales Salario Minimo
Safety and Health Protection on the Job
Secondhand Smoke is Toxic