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New Hire Documents - NJ

Please upload the following documents. Click on "Choose file" to upload.

COVID Card

Completed COVID Card or Exemption form

Check Stub

Voided check or bank form showing your routing and account number

Drivers License

State drivers license

Physical Exam

Physical exam / statement of good health

TB / 2 step ppd. Cannot be more than one year old

Picture

A picture of yourself for your id badge. Needs to be on a solid color background, no selfies, must look professional.

Flu Vaccine

Completed Flu Vaccine

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

February 2, 2023 3:17 pm EDT

New Hire Documents - NJ Uploaded by Assist Medical Staffing - staff@assistms.com IP 104.128.161.76

February 6, 2023 12:21 pm EDT

Document owner richard@assistms.com has handed over this document to staff@assistms.com 2023-02-06 12:21:44 - 104.128.161.231