P harma T ech S taffing, I nc.

DOCUMENTS NEEDED TO BE ENROLLED WITH
PHARMATECH STAFFING, INC

1. Questionnaire

2. Updated Resume

3. Signed Employee Handbook Statement

4. Signed Application Agreement & Authorization

5. Completed I 9 Form

6. Completed W 4 Form

7. Copy of all State Licenses (Pharmacists) and/or Certificates (Technicians)

8. State Required Pharmacy Technician Registration

9. Copy of Liability Insurance (Pharmacists only)

10. Workers' Compensation Information (Must be filled out by any Employee Working in Pennsylvania)



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page updated April 4th 2001
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PharmaTech Staffing, Inc.