Genetic Information Nondiscrimination ActThis notice contains instructions for preventing disclosures of genetic information that are prohibited under the Genetic Information and Nondiscrimination Act of 2008.
Health Record FormThis form must be completed prior to your first Occupational Health visit. You will also need to bring a copy of your vaccination record to the visit.
Immunizations Required by Occupational Health ServicesThis sheet lists all the immunizations that Occupational Health Services requires for its employees. Please note the mandatory influenza policy and process for documenting contraindications.
Medical Record Request FormThis form allows a new employee to request that their available medical records be sent directly to Occupational Health Services for review.
Fax Cover SheetPlease identify yourself using this fax cover sheet when you are sending any of your pre-hire paperwork to Occupational Health Services.
Criminal Offender Record Information (CORI) Acknowledgement FormConsumer Report/Investigative Consumer Report Disclosure & Release of Information AuthorizationEducation and Employment Verification FormAll employees must authorize the Institute to conduct a criminal background check as a condition of employment. These forms must be completed prior to attending orientation.
I-9 FormThis form must be completed by all employees receiving a paycheck from Dana-Farber. Please complete the top half and bring to Human Resources with proper identification. A list of accepted identification can be found on the form.
Foreign National Tax FormThis form must be completed by all employees of Dana-Farber Cancer Institute who are working on a visa.
Applying for a Social Security NumberThe Internal Revenue Service (IRS) requires that all employees of Dana-Farber Cancer Institute who are working on a visa obtain a Social Security Number in order to receive tax treaty benefits. This form will explain how to obtain a social security number.
If you are not a citizen or permanent resident of the United States, you must obtain a visa to work at Dana-Farber. The applications below will help you to get started.
If you have any questions about the forms listed above, please contact Human Resources at 617-632-3052. It is important that all paperwork be completed prior to your Occupational Health visit.
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