Forms | Cross Country TravCorps

A Few Forms to Begin Your Travel Adventure

Below, you will find all the forms you need to get started as a traveler with Cross Country TravCorps. The Required Forms, including a Skills Checklist for your specialty, will need to be completed and either scanned and emailed or faxed to your recruiter.  

Required Forms:

Background Check Consent
Criminal Conviction Addendum
Hepatitis B Vaccination Consent/Declination
Tuberculosis Assessment
Letter of Reference (Two needed, completed by manager)
Physical Statement & Health Status (Annual)
W4 - Tax Withholding Form

Nursing Skills Checklists:

Cardiac Cath Lab RN
Case Management
CNA
Corrections
Critical Care
Diagnostic Imaging/GI Lab
Dialysis
Emergency Trauma
Endoscopy
Home Health Care
Hospice  
LDRP
Medical/Surgical
Neonatal Intensive Care
Oncology
Operating Room-Circulate
Operating Room-Scrub
PACU/Recovery Room
Pediatric
Pediatric Intensive Care Unit
Psychiatric
Skilled Nursing/Rehabilitation
Telemetry/Progressive Care

Allied Skills Checklists:

Cardiac Cath / Special Procedures / Cardiovascular Tech
Cytology
EEG
Histology
Medical Laboratory
Nuclear Medicine
Nurse Practitioner
Occupational Therapy
Pharmacy
Pharmacy Tech
Physician Assistant
Physical Therapy
Polysomnography Tech
Radiation Therapist
Radiography / CT / MRI / Mammography
Respiratory Therapy
School Settings
Speech Language Therapy
Ultrasonography / Echocardiography / Vascular Tech

Other Checklists:

Emergency Room Tech/EMT
Medical Assistant
Mental Health Tech
Monitor Tech
Pharmacy
Pharmacy Tech
RN First Assist
Sterile Processing
Surgical First Assist
Surgical Tech

Other Information You May Find Useful:

Interview Guidelines
Nursing Housing Checklist
Direct Deposit Consent Form
New York State Law Article-23A
New York City Earned Sick Time
Influenza Vaccination
San Francisco Sick Pay Notice
San Francisco Minimum Wage
California Sick Pay Notice
Massachusetts Sick Pay Notice

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