Healthcare Employment Forms

Healthcare Employment Forms

These forms are required for Healthcare applicants only (includes school nurses).

Print and complete each of the following forms. Do not sign or date them. Return them to your Kelly Representative as directed:

Employee Handbook Supplement
Florida Only: Affidavit for AHCA Fingerprinting 3100-0008

If directed by your Kelly Representative, print and complete the following additional forms. Do not sign or date them. Return them to your Kelly Representative as directed:

Tuberculin Certification
Physician Certification of Health
Hepatitis B Vaccination Consent / Declination