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New Hire Request
Form helps your IT team to prepare new hire's equipment. Specify software, type of computer, and peripherals requested.
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HIPAA
Compliance
1
NAME OF COMPANY SUBMITTING
*
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2
Employee Name
*
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First Name
Last Name
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3
Employee Start Date
*
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4
Employee Title/ Position
*
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5
E-mail of new hire
*
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6
Phone Number of new hire
*
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Area Code
Phone Number
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7
Department
*
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8
Type of Employment
*
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Please Select
Full-Time
Part-Time
Seasonal
Intern
Contract
Please Select
Please Select
Full-Time
Part-Time
Seasonal
Intern
Contract
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9
Annual Salary or hourly wage
*
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10
Name of Person Submitting
*
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First Name
Last Name
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11
Date Submitted
*
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-
Date
Month
Day
Year
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