Independent Health

Payroll Submittal Process

Please complete the form below when a new hire occurs.

Contingent Worker Name(Required)

Email(Required)

Candidate Home Phone(Required)

Candidate Cell Phone(Required)

Candidate Address(Required)

Title(Required)

Start Date(Required)

End Date(Required)

Work Schedule(Required)

Pay Rate(Required)

Manager (Name/Email)(Required)

Company Phone(Required)

Cost Center(Required)

Work Location(Required)

Department(Required)

Job Description(Required)

Approved Req Number(Required)

Please attach candidates resume & job description

Drop files here or

Accepted file types: pdf, docx, doc, Max. file size: 32 MB.

Completed forms and attachments will be sent to independenthealthpayroll@acarasolutions.com.

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Acara Solutions is an Aleron Company.