PLACE AN ORDER Phone Company Name * Address * Street Address Address Line 2 City State - Select Province/State -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ====================AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code * Phone * Fax Contact * Email * Job Title Report To (Name) Report To (Number) Job Description Upload Your Job Description Upload your order in Word or PDF format only. Department PO# When do you need the person to start the job? Date * HH MM AM/PM AM PM Type of Position (Optional) Temp to Hire Direct Hire Temporary Length of Assignment (Optional) 1-3 Days 1 Week 2 Weeks Month 90 Days Indefinite Other Number of people needed * Any other special requirements such as: software proficiency, education requirement, years of experience, skill assessment? Please specify. Corporate Office Brea 60 Pointe Dr. #100 Brea, CA 92821 714-599-8291 CONTACT@YOURSTAFFINGFIRM.COM NAVIGATION- HOME ABOUT US COMPLIANCE & SAFETY TEMPORARY EMPLOYEE FORM CANDIDATES RESOURCES CONTACT US LOCATIONS SAFETY PROGRAM West Covina 549 S. California Ave West Covina, CA 91790 626-747-8007 Lynwood 10919 Atlantic Ave Lynwood, CA 90262 323-761-2330 Lancaster 2155 W. Longhorn Drive Lancaster, Tx 75134 469-914-7043 Whittier 14714 Whittier Blvd Whittier, CA 90603 562-203-3655 Ontario 1035 S. Millken Ave Suite A Ontario, CA 91761 909-406-5005 Carson 860 E. Carson St #114 Carson, CA 90745 310-702-4211
