For all New Hires, please complete and submit this form.
All New Hire Employees must be compliant with all required Onboarding Forms prior to the start of any staffing. This form is to accompany all completed New Hire Packets or the USA Onboarding Portal. Please complete this form with as much information as possible regarding the new Assignment. Customer Company Name* Do you have any active temps at this customer?* Yes No Customer Contact Information*NameTitlePhone NumberEmail Customer Contact Information*NameTitlePhone NumberEmail Accounts Payable Contact Information (if known)*NameTitlePhone NumberEmail Special notations on invoices? Is there a Purchase Order (PO)? Explain:*What Screening Tests does this Customer require?* National Criminal History County Criminal History SSN authentication Sex Offender Motor Vehicle Report 10 Panel Drug Screen - Instant 10 Panel Drug Screen- Lab 5 Panel Drug Screen- Instant 5 Panel Drug Screen- Lab Other screening tests (list below) Please List out any additional Screening Tests required by Customer*New Assignment(s) InformationThis form allows multiple new assignments with unique pay/bill rates and worksite addressesWorksite Address #1* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Employee Name(s) for Worksite #1*Please fill out entire row for each employee who is startingNameEmailPhonePositionPay RateBill RateStart Date Time Approver for Employee(s) at Worksite #1 (if known)NameTitlePhone NumberEmail Is there another worksite to add?* Yes No Worksite Address #2* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Employee Name(s) for Worksite #2*Please fill out complete row for each employee starting at worksite #2NameEmailPhonePositionPay RateBill RateStart Date Time Approver for Employee(s) at Worksite #2 (if known)NameTitlePhone NumberEmail Is there another worksite to add?* Yes No Worksite Address #3* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Employee Name(s) for Worksite #3*NameEmailPhonePositionPay RateBill RateStart Date Time Approver for Employee(s) at Worksite #3 (if known)NameTitlePhone NumberEmail UploadsAdditional Document(s)If you have any other documents you wish to share, you can upload them here. Multiple files can be uploaded. Drop files here or Select files Max. file size: 256 MB. Completed By* First Last Please enter your email to receive a copy of this submission. If multiple emails, please use a semicolon to separate the email addresses*
