Forms & Information

As a U.S. Nursing employee, you may need to complete a variety of forms that are important for your assignments. Remember, the more current your application is, the more likely you will be selected for an assignment.

All forms below are in Adobe Acrobat (pdf) format. If you do not currently have Adobe Acrobat, please download this application for free. Where indicated, you may fill out some of these items online.

You may fax forms to our Records Department at: (888) 508-7854.

Forms & Information

COMPLETE U.S. Nursing Application
Federal W-4
I-9 Packet
Physician's Statement
Required Documentation Checklist
Payroll and Time Sheet Information
Direct Deposit Application
Reimbursement Form (Mileage, Licenses, Certifications)
Evaluation

Skills Checklists

The skills checklists can now be completed via our nurse portal. To access the nurse portal click here. If you do not have a nurse portal user ID and password please contact your recruiter at 888-389-7668.

Workers Compensation

Home       Nurses       Facilities       Positions       Forms & Information       FAQs       Licensing       Refer a Nurse

Contact Us     Apply     Travel Nurse Opportunities   Nurse Portal        Site Map        Site Requirements

Copyright © 2011 U.S. Nursing Corporation. All rights reserved.