Temporary Employee Form

Request for Temporary Employee Staffing Form

Special request


(signatures must be obtained before submitting to Agency)


Human Resources Procedures for Recruiting Temporary Employees

The Human Resources department will retain contractual agreements with temporary staffing agencies to:

  • ensure compliance with the minimum wage, overtime, child labor, and equal pay requirements;
  • Maintain workers’ compensation insurance (provided on demand) on all workers who work on location.
  • meet Title VII and ADEA guidelines in order to establish non-discriminatory practices;
  • Provide background investigations on all temporary
  1. Department manager/supervisor placing order must be authorization to request temporary employees.
  1. Information on form will provide required information to your HR staff regarding:
  • reason(s) for temporary employee;
  • skills needed to perform assignment;
  • duties individual will perform;
  • duration of assignment;
  • start date;
  • end date;
  • hours/day – days/week
  1. Upon receipt of approvals, our manager/supervisor will dispatch your request.

Invoices from the staffing agency will be billed and forwarded to the hiring and accounting department for payment.


Corporate Office


60 Pointe Dr. #100 Brea, CA 92821

New Jersey

519 Elizabeth ave, Elizabeth, NJ, 07206


2122 S. Atlantic Blvd Commerce, CA 90040


10919 Atlantic Ave Lynwood, CA 90262

Sumner, Washington

615 E Pioneer, Suite 207 Puyallup, WA 98372


14714 Whittier Blvd Whittier, CA 90603


1035 S. Millken Ave Suite A Ontario, CA 91761


860 E. Carson St #114 Carson, CA 90745