Instructions: Use this Time Off Request Form https://healthcareheroesofamerica.com/wp-content/uploads/2025/05/Time-Off-Request-2025.docx to request scheduled or unscheduled Time Off.

This form should be submitted in advance of scheduled time off to your supervisor with at least 1 month notice. This form must be approved and signed by your supervisor and submitted to Human Resources prior to your time off.

Submit to:   

Keshav      hrcoordinator@1st-americare.com         202-993-4049

Tiger Carrasco Tiger.Carrasco@1st-americare.com 240-204-2004 

Pam    Pam.Chahal@1st-americare.com                  202-760-1631