EMPLOYMENT PACKET WITHOUT BENEFITS
PLEASE CLICK ON LINKS BELOW TO PRINT FORMS.
Employee Information Sheet
Statement of Understanding Unclassified, Hourly Paid Positions
Outstanding Wages (pdf)
Salary Part-Time Non Exempt
Technology Usage Policy # 174 (Form to be signed)
District 2 Public Health Dress Code Policy # 167
Authorization Agreement For Automatic Deposits
Documentation of Required Immunizations/Test
Standards of Conduct Acknowledgement
Acknowledgement of Workers' Compensation Treatment
Understanding Concerning
FLSA
Compensatory Time
Statement on Patient Right to Privacy
Employee Notice and Acknowledgment of Confidentiality Requirements
Sexual Harassment Policy
State Security Questionnaire/Loyalty Oath ( Please wait to sign form when you return to HR form will be notarized)
Medical and Physical Examination Program
Form I-9
Form G-4 State of Georgia
Form W-4 2012
Acknowledgement of Responsibility To Maintain Current License
Selective Service Verification
(If Applicable)
Health & Wellness Policy / Agreement
(Optional)