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Home Jobs New Employees

New Employees

All New Employees

  • ACA Notice
  • Acknowledgement of Policies
  • Additional Information Survey
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  • Authorization to Conduct Criminal History & Background Check 2013
  • Cogent Systems Fingerprint Registration and Authorization Form
  • Confidentiality Agreement
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  • Public Health Emergency Contact Form
  • Secondary Employment Acknowledgement
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  • Statement of Ethics
  • W-4_2014
  • Workers Compensation

Male Employees Only

  • Selective Service Verification (Males Only)

Employees With Professional Licensing and Certifications

  • Professional Licensing and Certification Form

Last Updated on May 5, 2017

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Northeast Health District, Copyright 2022.
DISTRICT HEALTH DIRECTOR: D. Stephen Goggans, MD, MPH, FACP
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