The purpose of this form is to obtain an agency POC we can contact directly with any questions pertaining to the development of the form as well as to document information about the form to be replicated in USA Staffing. Please provide the following information about your agency and the form. Once this form is complete, please submit it to your USA Staffing Account Manager.
Include a blank PDF copy of the form being requested for creation and if possible, a sample version that has been completed and/or list of response options showing how to populate certain fields.