MAILMAN SCHOOL OF PUBLIC HEALTH



MAILMAN SCHOOL OF PUBLIC HEALTHOffice of Faculty Affairs and Human ResourcesCASUAL / TEMP STAFF CHECKLIST New Hire/Rehire:_______________________________________________*Lines 1 – 8, and 10 to be submitted with TBH / PAF in that specific order.*A: Attachment□1TBH / Blue PAF□A12Casual Employment Form (signed)□A13NYS Labor Law Section 195 acknowledgement hourly form, completed with OT rate (signed)□A14Employment Application completed in its entirety and signed□A15Selectee Resume□A16Applicant Pool Report from JAC – printed or uploaded onto TBH by HR/FA□A17View Posting Summary from JAC – printed or uploaded onto TBH by HR/FA□A28Tax Forms: W-4 AND IT-2104 and/or IT-2104.1 (non NYC resident only) and/or IT-2104.E (if claiming tax exemption); if CT or NJ, use respective state tax forms□9I-9 processing completed online (attach copy of Employment Authorization Document (EAD) and Passport and/or Permanent Resident Card)□A110If on visa, copy of validated documents□11Job Approval Form, Financial Statement, Job Description □12Proof that background check is cleared; candidate CANNOT be hired until clearance is received (not needed if CU students)□13Medical surveillance scheduled date, if applicable□14New Hire Personal Information Form□15Emergency Contact Form□16Voluntary Self-Identification of Race and Ethnicity □17Invitation to Self-Identity (Disability / Veteran status – Optional) ................
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