AVA Request Form

We are excited to be almost 100% E-Gift Card only, that means quick delivery, the ability to track your card, and the ability to make sure that no one else receives your requested card.

• To ensure the security of your AVA Points and requests, please make sure that you have input your correctly spelled email address, as it matches with the email address in your employee profile on ADP. (In Office employees please use your Interim HealthCare Company email, for field staff, please use your personal emails that you have on file in ADP)

By Popular request, we now offer Gas Gift Cards. You can request those cards using this page as well, however please note that:

• These cards are currently PHYSICAL CARDS only, these can be delivered to your home address directly, meaning that you no longer have to visit the office to pick up your card if that isn’t convenient for you! Please make sure when submitting your gas card request that your submitted address matches that on ADP, otherwise your request may not be processed.