Corporate Phone: (586) 771-4097

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These documents are required to be on file with Independent Nursing Services before placement at any client or facility.

Fax to (586) 771-4205

Mandatory Items

RN & LPN

Home Health Aids and Homemakers

Current Resume

Resume or letters of Recommendation

Current Michigan License

Copy of Drivers License

Neg. TB Test or CXR results with signs and symptoms sheet.

Certificate of Auto Insurance

Current BLS-Healthcare Provider for Facility Placement

Copy of Current Michigan Certificate/ License and any additional certifications or training.

Current ACLS for Critical Care

 

Copy of Hepatitis B. Vaccine or Vaccine Decline Release Form-
HEP B Vac Declination Form

Completed
Home Health Aide Skills Checklist and Tests

Proof of Serum Titers:
MMR and Vericella
Hep C Titers for certain facilities

Neg. TB Test or
CXR results with signs and symptoms sheet

Available Payroll Downloads

Available Payroll Downloads

2008 W4 Tax Form

2008 W4 Tax Form

Federal I9

Federal I9

MI W4

MI W4

Detroit Tax

Detroit Tax

Direct Deposit

Direct Deposit

 

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