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Client New Hire Form
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Requested By
Name
*
Phone
*
Email
*
Email
Confirm Email
Additional Confirmation Email 1
Additional Confirmation Email 2
Note: An email acknowledging receipt of your request will be sent to you, the Employee Supervisor specified below, and the Additional Confirmation Emails specified above.
Client Company Information
Client Company Division
Hourly Pay Rate
Date / Time
Work State
Will the employee have internet access
Yes
Department Number
PO#
Employee Supervisor
Supervisor Email
*
Supervisor Phone Number
Description of Job Duties
New Hire Information
Full Name
*
Home Phone
*
Cell Phone
Hire Email
Background Check
Drug Test
Yes
Criminal Background Check
Yes
DMV
Yes
Additional Request
(Please Specify)
Submit
