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Forms

  1. House Staff Application 
    Write your name exactly as it appears on your Social Security Card.  It is important that you complete the application in its entirety.  If it does not apply to you please put N/A.
  2. Tax Forms (Federal and City/State) -- please return both forms even if you do not live in New York City or State
  3. I-9 Form  (Employment Eligibility)
    1. Attach a voided check
    2. You may switch banks at any time
    3. Please note that not all will be on DD by July 1
      (If you do not have a social security number they will not put you on DD)
    1. Fill out 1st box on page one
    2. Print and sign (in 3 places) on the 2nd page
    3. Please send back to House Staff for approval
  4. Housing  

Forms

Documents

Employment Eligibility

Jonathan,

Physician Assistant
Montefiore Attending Service

I’ve learned so much at Montefiore, and I never stop learning. I feel comfortable caring for the sickest of patients, with a wide variety of diseases, all because of the experience I’ve received here. [more]


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