Annual Employee Eligibility Certification Form

1 Annual Employee Eligibility Certification Form You must review all policy links before submitting this form. I understand that as a condition of continued employment with ResCare I agree to the following statements and acknowledge the information stated by writing my initials next to each item listed. During my employment, I will notify my supervisor and/or Human Resources Representative of any charges and/or convictions of criminal offenses that have occurred. I certify that I have not been listed by any federal, state or local agency as debarred, excluded or otherwise ineligible for participation in any federally, state or locally funded health care programs. I certify that I have read and understand the Code of Conduct and agree to abide by it during the entire term of my employment.

2 I acknowledge that I have a duty to report any alleged or suspected violation of the Code of Conduct. I am not aware of any possible violation of the Code of Conduct. I understand that any violation of the Code of Conduct or any other corporate compliance policy or procedure is grounds for progressive corrective action, up to and including termination from employment. I certify that I have read and understand the Fraud Prevention Policy and agree to abide by it during the entire term of my employment. I acknowledge that I have a duty to promptly report any alleged or suspected acts of fraud. I am not currently aware of any possible violation of the Fraud Prevention policy. I further understand that any violation of the Fraud Prevention policy or any other corporate compliance policy or procedure is grounds for progressive corrective action, up to and including termination from employment.

3 I certify that I have read and understand the Information Systems Security Policy and agree to abide by it during the entire term of my employment. I acknowledge that I have a duty and responsibility to keep client and company information confidential and secure, both in paper and electronic formats. I complete all required training related to my job responsibilities, as outlined by my supervisor. I. certify that my educational credentials are true. I will also maintain any certifications and/or licenses required for my position. I have reviewed and am familiar with Drug and Alcohol-free Workplace Policy. I am aware of ResCare's policy on the Prohibition of Harassment and have not violated or witnessed any violations of that policy. I have reviewed and am aware of Policy on Affirmative Action/Equal Employment Opportunity.

4 I have reviewed and am familiar with Safe Work Environment Policy and am in compliance with that policy. I certify that, if driving is a requirement of my position, my driver's license has not been suspended in any jurisdiction. I will report to my supervisor immediately if my driver's license becomes suspended at any time, and that I can and will provide upon request proof of currently effective insurance. I will report any violations that I may have witnessed pertaining to any ResCare policy or any violations of international, federal, or state/provincial laws with regard to my employment to local/regional management or the Compliance Department. I understand that this is a condition of employment with ResCare, I will be required to acknowledge and re-certify all of the above statements on an Annual basis.

5 I further understand that this Certification does not constitute a written contract at this time or at any time in the future and that my employment is strictly at-will employment. (NOTE: In Puerto Rico, terminations must be justa causa or with cause, not at will). I have reviewed and am familiar with Anti-Bribery Policy. I have reviewed and am familiar with Policy on Conflict of Interest. I have reviewed and am familiar with the Social Media Policy. I have reviewed and am familiar with Anti Kickback Policy.