New Hire Summary

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General Details

Client Legal Entity Name*

Do you have any employees currently working at this customer?*

Job Assignment(s) Details

Worksite Address*

Street Address Address Line 2 City State ZIP Code

Is this a new worksite address?*

Has this worksite been approved by USA Staffing Services?*

Is this a remote/work from home role?*

Do you need to add a new time approver for this worksite?*

Employee(s) Information

Employee 1's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Start Date*

Time Approver Full Name*

Do You Have Any Further Employees to Add?*

Employee 2's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 3's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 4's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 5's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 6's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 7's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 8's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 9's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Employee 10's Information

Name*

Email*

Phone*

Job Title*

Pay Rate*

Bill Rate*

Pre-Employment Screening Requirements

What criminal screening Tests are required by this client?*

Which pre-employment drug screen or OHS screenings are requested?*

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New Hire Summary

General Details

Job Assignment(s) Details

Employee(s) Information

Employee 1's Information

Employee 2's Information

Employee 3's Information

Employee 4's Information

Employee 5's Information

Employee 6's Information

Employee 7's Information

Employee 8's Information

Employee 9's Information

Employee 10's Information

Pre-Employment Screening Requirements

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