Forms and Documents

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Timesheet

 

Professional Reference Form

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https://www.summitmedstaff.com/hippa---osha

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https://www.summitmedstaff.com/background-check-release--emergency-con

Government Forms

Employment Eligibility Form I-9

Federal Tax Withholding W-4

Alabama Employee’s Withholding Exemption Certificate A4

Arizona Employee’s Withholding Exemption Certificate A4

Arkansas Employee’s Withholding Exemption Certificate AR4EC

Connecticut Employee’s Withholding Exemption Certificate CT-W4

District of Columbia Employee’s Withholding Exemption Certificate D-4

Georgia Employee’s Withholding Exemption Certificate G-4

Hawaii Employee’s Withholding Exemption Certificate HW-4

Iowa Employee’s Withholding Exemption Certificate IA W4

Illinois Employee’s Withholding Exemption Certificate IL-W-4

Indiana Employee’s Withholding Exemption Certificate WH-4

Kansas Employee’s Withholding Exemption Certificate K-4

Kentucky Employee’s Withholding Exemption Certificate K-4

Louisiana Employee’s Withholding Exemption Certificate L-4

Maine Employee’s Withholding Exemption Certificate W-4ME

Maryland Employee’s Withholding Exemption Certificate MW 507

Massachusetts Employee’s Withholding Exemption Certificate MA-M-4

Michigan Employee’s Withholding Exemption Certificate MI-W4

Mississippi Employee’s Withholding Exemption Certificate 89-350-98-1

Missouri Employee’s Withholding Exemption Certificate MO-W4

New Jersey Employee’s Withholding Exemption Certificate NJ-W4

New York Employee’s Withholding Exemption Certificate IT-2104

North Carolina Employee’s Withholding Exemption Certificate NC-4

Ohio Employee’s Withholding Exemption Certificate IT-4

Puerto Rico Employee’s Withholding Exemption Certificate 499 R-4.1

Rhode Island Employee’s Withholding Exemption Certificate RI W-4

Vermont Employee’s Withholding Exemption Certificate W-4VT

Virginia Employee’s Withholding Exemption Certificate VA-4

West Virginia Employee’s Withholding Exemption Certificate WV/IT-104

Wisconsin Employee’s Withholding Exemption Certificate WI WT-4

 

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Contact Us  877-514-6721

Contact Us

Summit Medical Staffing

​Tel: 877-514-6721
Email: info@summitmedstaff.com​

 

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