In-Person Start Date

RT STAFFING

Spruce Street Suite ***

inster,MA 014**-****** 1610

JOB ORDER

Method of delivery © US mail to home address

X In-person

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Soe a ACESSORIES, TOOLS, PROTECTIVE EQUIPMENT, TRAINING, OF

SPECIAL TRAINING WILL BE PROVIDED FOR PARTICULAR JOB TASKS

DESCRIPTION AND NATURE OF ASSIGNMENT LICENSES REQUIRED:

TRANSPORTATION TO WORKSITE IS OFFERED BY

DETAILS AGENCY OR WORKSITE EMPLOYER / IF SO, PROVIDE

DETAILS

xno PEC

XYES oYES

START DATE OF THE EXPECTED DURATIONOF THE = Crary ANTICIPATED END ANTICIPATED MEALS ARE PROVIDED BY THE AGENCY OR

: TIME OVERTIME WORKSITE

REQUIRED BY THE JOB / IF SO, PROVIDE

ASSIGNMENT, WORK, ASSIGNMENT, OR

OR ENGAGEMENT ENGAGEMENT a

ae MP TO PERM 7:00 am tr” oe

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Special attire, accessories, tools,

protective equipment safety equipment

Meals provided by agency or worksite

employer

Transportation provided by agency or

worksite employer

*Massachusetts General Law Chapter 149, section 159C limits the fees/charges that may be charged by Staffing agencies to job applicants/workers. Agendes

determine the permissibility of such charges. Staffing agencies SHALL NOT deduct fees and charges from a

worker's paycheck. In addition, Section 159 requires that a written contract be executed between a staffing agency and job applicant/worker for the payment of any fes

for a good or service which dearly states In a language that the job applicant/worker understands that the purchase is voluntary and that the staffing agency will not gain a

profit from any cost or fee charged. Attach applicable contract(s) to this job order.

EMPLOYERS ARE REQUIRED BY MASSACHUSETTS GENERAL LAWS C. 152, § 254 TO PROVIDE

RATE OF COMPENSATION OR DESIGNATED PAY DAY WORKERS’ COMPENSATION (WC) INSURANCE COVERAGE FOR ALL THEIR EMPLOYEES. LST

[AGES TO BE P WC CARRIER NAME, ADDRESS & PHONE NUMBER BELOW

: CMSI

PO Box 948399 Maitland, FL32795 Or Fax: 217-***-****

Massachusetts General Law Chapter 149, section 159C requires that staffing agencies provide at a minimum, all of the information listed above. Nothing shall prevent a

staffing agency from directing an employee to a job by telephone, but such telephone message shall comply with the disclosure requirements of this section and shall be

confirmed in writing by the staffing agency and sent to the employee before the end of the first pay period. The Temporary Workers Right to

Know Law is administered by the: Department of Labor Standards, 100 Cambridge Street, Suite 500, Boston, MA 02114; 617-***-****

Contact this candidate