Medical Staffing Solutions, LLC Pre-Employment Forms
While we work through the process of finding your next assignment, we will begin the pre-employment process. Below you will find all the documents necessary to get you signed up and ready to begin working.
Please download and print the necessary documents. Then complete the form(s), provide your signature on the form and either fax to us at (812) 469-6876 or scan and email to: success@mssmedicalstaffing.com.
Individual Forms Library:
- Application for Employment
- Background Investigation Consent Form
- Substance Abuse Testing Consent Form
- Disclosure of Health Information Consent Form
- Work Commitment Agreement
- Attendance & Employee Handbook Acknowledgement Form
- HIPAA Form
- Safety and Infection Control In-service
- TB Screening Form
- Hep B Declination Form
- Form I-9
- I-9 Letter to present to Notary Public with I-9 Form
(If out of Medical Staffing Solutions, LLC’s Geographic Area) - W4 Form
- State Withholding – Illinois
- State Withholding – Hawaii
- State Withholding – Indiana
- State Withholding – Kentucky
- Direct Deposit Form
