Standard File Requirements

You will hand-carry these items with you to the job action in an organized binder or folder

Certifications

Copies of certifications including but not limited to BLS, ACLS, PALS, NRP, ENPC, TNCC, etc.

State Nursing License

Copy of your nursing license in the state in which the strike is taking place. If your license is in a paperless state, you may provide a copy of your online verification of license.

If the striking state is compact, then you must provide a copy of your compact nursing license AND a valid driver’s license for proof of residency in that compact state.

Evaluation

One evaluation within specialty from a Charge RN or higher within 2 years, who had direct supervision over you. Download Reference Evaluation form.

Physical

Physical within 1 year. Download Physical form.

Tuberculosis

TB must be within 1 year. Quantiferon within 1 year is also accepted. If TB is positive or there is a history of positive TB, you must provide a Chest X-Ray within 5 years and TB Questionnaire within 1 year. Download TB Questionnaire form.

Rubella

Proof of positive titer -or- 1 Vaccine -or- Age Exemption (if born prior to 1957).

Rubeola

Proof of positive titer -or- 1 Vaccine -or- Age Exemption (if born prior to 1957).

Mumps

Proof of positive titer -or- 1 Vaccine -or- Age Exemption (if born prior to 1957).

Varicella

Proof of positive titer -or- 1 Vaccine -or- Documented history of disease.

Hepatitis B

Proof of positive titer -or- Complete vaccine series -or- Declination. Download Hepatitis B Declination form.

TDaP Vaccination

Within 10 years -or- Declination. Download TDaP Declination form.

Flu Vaccination

Flu Vaccine for most current season -or- Declination. Download Declination form.

Additional Documents

These forms are required ONLY after you receive an OFFER for the job action

I-9 Form

Fill out Section 1, but leave Section 2 blank. A US Nursing representative will fill out Section 2 during Induction. Bring the proper identification listed on page 3 under “List of Acceptable Documents.” Download I-9 form.

Background Check Form

Signed background check letter, including statement of searches completed and/or initiated. Many nurses already sign this form when they complete their Online Application. If you did not sign this form, or cannot recall whether you signed it, we will email you a form if one is missing from your file.

The following background checks are conducted: SSN Verification, Enhanced Nationwide Criminal Search (7 years), FACIS Level 3 Search (includes OIG and SAM), National Sex Offender Database Search.

Drug Screen

Take a 10-panel drug screen through US Nursing, unless you have a current drug screen on file within the last 1 year with Fastaff/US Nursing. A Credentialing Specialist will instruct you further on how to complete this requirement, closer to the time of the strike.