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Basic Forms

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Basic Forms

Below is the list of the basic forms and credentials needed to complete our hiring process. This is not the complete list of forms. Please download, print, complete, and return the documents we have provided -- along with the information and forms that you must provide -- to the address or fax number below. The original forms may not be altered in any way.

Please contact one our staffing consultants to request a copy of any necessary forms not found here. 713.270.4836 or 800.342.6704.

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Pre-employment Checklist

Information and forms that you provide:

  1. Resume
  2. Copy of valid Driver’s License
  3. Copy of Social Security Card
  4. Copy of current licenses
  5. Copy of CPR certification (front and back)
  6. Copy of any and all current certifications (front and back)
  7. TB test or Chest X-ray
  8. Immunization/Vaccination Records

Forms that we provide:

  1. Application for Employment
    Application for Employment ~ Nursing
  2. Letter of Reference (please provide three (3) copies)
  3. W-4 (Employee’s Withholding Allowance Certificate)
  4. I-9 (Employment Eligibility Verification)
  5. (Texas Employer New Hire Reporting Program) New Hire Reporting Form
  6. Senate Bill 9

Return documents to:

MEDRelief Staffing
8502 Tybor Drive
Houston, TX 77074-3012

or fax them to:

713.596.9770 or 866.250.5321

Thank You!

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