logo
(901) 853-3999
 
nav

Request to Opt-in for eWork Records

  • Please complete the form below to obtain your user ID & password.
  • If you have any questions please contact the office during normal business hours.

Agree to our terms:

There are a few terms to consider when signing up... please read the following and enter your initials by each indicating your undertanding of the terms.

I understand that the information submitted via the electronic work record website is a legal document and bound by the employee handbook rules for payroll and work records .

The website for No Place Like Home Inc. may at times be unavailable due to service or provider interruptions and in such case I understand that I am still responsible for ensuring that my work record is received by No Place Like Home, Inc. via an alternative method according to No Place Like Home, Inc. policy and procedure.

No Place Like Home, Inc. may re-assign passwords, with due notice, at its discretion to ensure company security.

All work records, regardless of delivery method, must be received by 5pm every Monday

Choose your password:

Your password may be any combination of letters, numbers, & symbols - except those listed below.

(15 characters max)
Do not use symbols # @ ' " ` \
or "spaces"

Electronically sign your request:

By entering the following electronic signature & clicking "submit" you attest to the following statement:

I am requesting No Place Like Home, Inc. to electronically accept the record of my hours worked via the No Place Like Home, Inc. website. My user ID will be assigned to me by No Place Like Home, Inc. and I have personally chosen the log in password indicated above and attest that I shall be the only person to submit work record information using this user ID and password combination.

First name: Last name:

Date of birth: / /

Professional license #: (your RN, LPN, or CNA license #)

Email address:
(you must have an active email address to participate in the ework record program)



Copyright 2018 No Place Like Home, Inc. All Rights Reserved.