Healthcare Authorized Dealer Resources
New Customer, Hire and Assignment Forms | Reference Material | Strategic Partners
New Customer and New Assignment Forms
The NCS needs to be Completed and Submitted by AD for all New Customers for USA Approval prior to any staffing. Please complete this form with as much detail as possible for the prospective Customer and Assignment.
Please note: If there are multiple assignments/position types for this Customer, please include 1 assignment on this form and complete a Quote Request Form (QRF) for each additional assignment(s).
Healthcare Candidate Submittals
New Hire Forms and Reference Material
New Hire & Onboarding Documents
New Hire & Onboarding Documents will be completed electronically via the USA Onboarding Portal. Once you have completed and submitted a New Hire Summary (link below), the Employee(s) will be emailed an Onboarding Portal link by your Staffing Coordinator. As an AD you will be responsible for completing Page 2 of the Form I9 – See link below for page 2 of the Form I9.
The NHS need to be completed and submitted by AD for all new temp/contract hires. If you have multiple new hires with the same assignment details (job title, pay rate and bill rate) you can list multiple employees on one form.
USA performs pre-employment background screens on all employees. If your customer requires specific pre-employment screens you can complete and submit the Screen Request Form.
The AD is responsible for completing Page 2 of the Form I9. You can download the form here to complete sign and return or you can contact your Staffing Coordinator to email you a DocuSign version of the Form I9 to complete and sign electronically. Click here to email request
If the employee presents a driver’s license for a List B doc, be sure you have the correct state issuing authority for Driver’s Licenses.
Approved Customer and Assignment Agreements
Your Account Manager will prepare and send all Agreements directly to Customer via DocuSign. Each new customer will require one executed Terms and Conditions of Assignment Agreement. Each Assignment type will require a seperate Assignment and Bill Rate Summary. You can contact your Account Manager by clicking their email or phone below. You can also complete Agreement Request Form by clicking here.
If your Customer requests we us their Agreement in place of ours, please email a copy to your Account Manager for review and approval by USA’s Legal Dept.