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Client: Affinity Medical Staffing, LLC is fully responsible for all payroll, taxes and benefits. By your signature, you agree to the hours stated. Payment is to be in US Dollars (USD) and paid according to the Service Agreement effective rates. Failure to pay invoice within time specified in the Service Agreement will result in an additional charge of 1.5% of the balance due per month, compounded monthly. Should you hire the employee named during their employment with Affinity Medical Staffing, LLC and up to 30 days of documented release of employment date, a finders fee will be paid to Affinity Medical Staffing, LLC prior to the employees start date with in you the following amounts: RN-$5,000, LPN-$4,0000, CNA/ MA-$2,000. Other disciplines will be according to agreed upon amount between client and Affinity Medical Staffing.
Employee: Please complete and have signed by an authorized client representative. By your signature, you certify that the hours shown above represent your actual hours worked and that the hours have been properly verified by an authorized representative. Use a separate timeslip for each client and include one pay period (Sun-Sat) on a timeslip. Timeslips processed direct deposit must be turned in to Affinity Medical Staffing, LLC payroll by 1500 (3p) Monday for the prior pay period.