Travel Nursing Forms

Forms to Begin Your Cross Country Nurse Travel Adventure

Below, you will find all the forms you need to get started as a traveler with Cross Country Nurses. The Required Forms, including a Skills Checklist for your specialty, will need to be completed and either scanned and emailed or faxed to your recruiter.  

Required Forms:

Background Check Consent 
Criminal Conviction Addendum 
Hepatitis B Vaccination Consent/Declination 
Tuberculosis Assessment 
Influenza Vaccination
Letter of Reference (Two needed, completed by manager)
Physical Statement & Health Status (Annual)


Nursing Skills Checklists:

Cardiac Cath Lab RN 
Case Management 
CNA 
Corrections 
Critical Care 
Diagnostic Imaging/GI Lab 
Dialysis 
Emergency Trauma 
Endoscopy 
Home Health Care 
Hospice  
LDRP 
Medical/Surgical 
Neonatal Intensive Care 
Oncology 
Operating Room-Circulate 
Operating Room-Scrub 
PACU/Recovery Room 
Pediatric 
Pediatric Intensive Care Unit 
Psychiatric 
Skilled Nursing/Rehabilitation 
Surgical Technologist 
Telemetry/Progressive Care


Other Information You May Find Useful:

Direct Deposit Consent Form
New York State Law Article-23A 
New York City Earned Sick Time
San Francisco Sick Pay Notice 
San Francisco Minimum Wage 
California Sick Pay Notice 
Massachusetts Sick Pay Notice

Start your travel nursing career today    

Real Talk
"CCN has changed the way I look for and find jobs. It's as easy as looking and clicking on my phone. It’s a snap!" - Bob RN Columbus