Pre-Onboarding Documents Upload Form

Pre-Onboarding Documents Upload Form

Welcome to the CPR Family! To ensure a smooth start to your journey with us, please upload the required documents no later than the deadline noted in your formal offer email. Should you have any questions, don't hesitate to contact us at HR@cprecovery.com. We're here to help!
Full Legal Name*

First NameLast Name
Personal Email Address*
example@example.com
Today's Date*

MonthDayYear
Date
Are you a behavioral health clinician who will be working directly with patients and/or clients? (Outpatient/Crisis/Public Safety Counselor, SMI Evaluator, Co-Responder, PNP, etc.)*

YesNo
Do you have an NPI number?*

YesNo
NPI Number:*
Resume*

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I-9 Documentation

Employees must provide documentation to their employers to show their identity and authorization to work.
Please review the list of acceptable documents. You may provide either one document from List A or a combination of one document each from List B and List C.
Please select which list of acceptable documents you will be submitting:*

List A documentList B and List C documents
List A (FRONT SIDE)*

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List A (BACK SIDE)*

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List B (FRONT SIDE)*

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List B (BACK SIDE)*

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List C (FRONT SIDE)*

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List C (BACK SIDE)*

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Please use the sections below to upload any documents you currently possess. If you don't have them at this time, no worries! Once you begin your onboarding with us, we'll provide you with the necessary support to obtain them at no cost to you.

The documents we're referring to include:
- Fingerprint Clearance Card
- CPR/First Aid Certification
Please note: All employees will be required to have a Fingerprint Clearance Card. The requirement for CPR/First Aid Certification, however, varies depending on your role.
Level-One Fingerprint Clearance Card

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Current CPR/First Aid Certification Cards

**Required certification for CPR/FA is role dependent.
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Should be Empty:

Pre-Onboarding Documents Upload Form

I-9 Documentation