Below is a list of forms that are required for employment with Alliant Healthcare Staffing. If you need assistance, please contact a recruiter at any of our locations.
Recruiters are available Monday—Friday (8:30AM—5:00PM local time) to assist you through our application process.
- Application Form
- Employment Verification Form
- Education Verification Form
- Authorization/Consent for Background Check
- HIPAA Acknowledgement
- OSHA/HIPAA Exam – must be completed annually
- TB Questionnaire – must be completed annually if a chest x-ray is on file
- Hepatitis B Declination
- Direct Deposit Authorization Form
- I-9 Form
- Physical and Immunization Record
- Flu Declination Form (Seasonal)
- Time Card
- Federal Withholding Tax Form (W-4)