| Pay Period | Shifts | Hours | Rate | Gross Pay | Status |
|---|---|---|---|---|---|
| Mar 10–16, 2026 | 3 | 24 | $18/hr | $432 | Deposited |
| Mar 3–9, 2026 | 2 | 16 | $18/hr | $288 | Deposited |
| Feb 24–Mar 2, 2026 | 3 | 24 | $18/hr | $432 | Deposited |
| Feb 17–23, 2026 | 2 | 16 | $18/hr | $288 | Deposited |
| Feb 10–16, 2026 | 2 | 16 | $18/hr | $288 | Deposited |
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This Nursing / Caregiver Independent Contractor Agreement ("Agreement") is entered into between Complete Staffing LLC, a Florida Limited Liability Company with its principal place of business in Jacksonville, Florida ("Agency"), and the undersigned healthcare professional ("Contractor").
1. INDEPENDENT CONTRACTOR RELATIONSHIP. Contractor is engaged as an independent contractor, not an employee, of Agency. Contractor retains the right to perform services for other clients or agencies, provided such engagements do not conflict with scheduled assignments accepted through Agency. Agency does not control the specific manner or means by which Contractor performs clinical services.
2. SERVICES. Contractor agrees to perform healthcare staffing services (including but not limited to CNA, HHA, LPN, RN, Sitter, or other agreed role) at facilities assigned by Agency. Contractor shall: (a) provide services in accordance with applicable state and federal standards; (b) maintain professional demeanor and adhere to facility policies during each assignment; (c) notify Agency at least 4 hours in advance of any inability to complete an accepted shift.
3. CREDENTIALS & COMPLIANCE. Contractor warrants that all licenses, certifications, and credentials submitted to Agency are current, valid, and in good standing with the Florida Department of Health. Contractor shall immediately notify Agency of any license suspension, disciplinary action, or criminal charge. Contractor authorizes Agency to conduct a Level II background screening per Florida Statute §435.04 as a condition of placement.
4. COMPENSATION. Agency shall pay Contractor at agreed hourly rates per role and assignment, as specified in the Rate Confirmation issued prior to each placement. Payments are issued weekly via direct deposit for hours worked and documented in the Agency's Electronic Visit Verification (EVV) system. Contractor is responsible for all applicable federal, state, and self-employment taxes on compensation received.
5. HIPAA & CONFIDENTIALITY. Contractor acknowledges that patient health information ("PHI") encountered during assignments is protected under the Health Insurance Portability and Accountability Act (HIPAA), 45 C.F.R. Parts 160 and 164. Contractor shall not access, disclose, or use PHI beyond the minimum necessary for direct patient care. Violations may result in immediate termination and civil/criminal liability.
6. NON-SOLICITATION. Contractor agrees not to solicit or accept direct employment from any facility to which Agency has assigned Contractor during the term of this Agreement and for a period of twelve (12) months following the last assignment at that facility, without Agency's prior written consent. This provision does not restrict Contractor from seeking independent employment at facilities where Agency has not placed Contractor.
7. PROFESSIONAL LIABILITY. Contractor is responsible for maintaining adequate professional liability (malpractice) insurance coverage. Agency maintains employer-level General Liability coverage for on-site incidents; however, Contractor's independent professional acts are the Contractor's sole liability.
8. TERM & TERMINATION. This Agreement is effective upon signing and continues until terminated. Either party may terminate without cause with 48 hours written notice. Agency may immediately terminate for: abandonment of an assignment, HIPAA violations, confirmed abuse or neglect, fraud, or failure to maintain required credentials.
9. DISPUTE RESOLUTION. Any disputes arising under this Agreement shall first be addressed through good-faith negotiation. Unresolved disputes shall be submitted to binding arbitration in Duval County, Florida, under the American Arbitration Association Commercial Rules. Florida law governs this Agreement.
10. ENTIRE AGREEMENT. This Agreement, together with any Rate Confirmation Addenda and Agency Policy Manual acknowledgments, constitutes the entire agreement between the parties and supersedes all prior oral or written representations regarding the subject matter herein.
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| Date | In | Out | Hours | GPS Match | Status |
|---|---|---|---|---|---|
| No shifts logged yet | |||||
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