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• Fair Credit Reporting Act (FCRA)
• Disclosure and Authorization Form

All four forms are required by Acclivity Healthcare

Please fax completed forms to:
480.551.1411 Fax
800.813.4717 Toll Free Fax

• IRS W4
• Arizona A4
• Payroll and Benefits
• Authorization for Direct Deposit
• Timesheet

• Post Employment Survey