1-800-522-8324
Fax: 603-893-5361
Dear Lab Force Registrant:
Included, please find the paperwork that will be needed to complete your registration process, and to begin the process of placing you in Temp or Perm jobs!
The following is included:
1. Form W-4: Please see link for form: www.irs.gov/pub/irs-pdf/fw4.pdf . Please print form. Fill out bottom section completely, (name, home address & PO Box; if that is where you want check sent, social security#, status, deductions, sign and date), fax or scan & email or mail completed form to us.
2. Laboratory Professional Profile: if form applies to you. Please complete each section fully. Initial and date both pages.
3. Imaging Professional Profile: if form applies to you. Please complete each section fully. Sign and date.
4. Radiation Therapist / Dosimetry: if form applies to you. Please complete each section fully. Initial and date.
5. Radiographer / Nuclear Medicine Technologist: if form applies to you. Please complete each section fully. Initial and date.
6. Ultrasonographer: if form applies to you. Please complete each section fully. Initial and date.
7. Temp Assignment Employee Policies and Procedures: Please sign and date this form.
8. Background Check: Please fill in entire top section. Please fill in address information (Need places of residence for the past 7 years). Please sign and date.
9. Hepatitis B Vaccine Consent Form: Please complete form. Sign and date.
10. Health, Safety and Compliance Form: Please complete each section fully. Sign and date.
11. Department of Justice Form I-9: http://www.uscis.gov/files/form/i-9.pdf Complete Section 1, including signature and date.
12. Direct Deposit: Please check off type of account. (if checking, please include copy of VOIDED check) Fill in Institution name, routing #, account#, and name. Sign and date.
Please call if you have questions about any of the above forms.
We look forward to working with you!
Lab Force Services
P.O. Box 4180
Windham, NH 03087-4180
Fax: 603-893-5361
jobdesk@labforceservices.com