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PROCEDURE GME14 Subject: RESIDENT MOONLIGHTING Applies to: THE METHODIST HOSPITAL Originating Area: GRADUATE MEDICAL EDUCATION COMMITTEE Effective Date: OCTOBER 2004 Date Revised: JANUARY 2009 Target
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How to fill out dhhs moonlighting form

How to fill out dhhs moonlighting form:
01
Obtain the dhhs moonlighting form from the relevant department or agency.
02
Fill in your personal information accurately, including your name, address, phone number, and email.
03
Provide details about your current job, such as the name of your employer, your position, and your work hours.
04
Indicate the additional job(s) you plan to take up as moonlighting, including the name of the employer and position.
05
Specify the hours you intend to work for the moonlighting job(s), ensuring that they comply with any restrictions set by your primary employer or the dhhs.
06
If required, provide a detailed schedule of your availability for both your primary job and the moonlighting job(s).
07
Sign and date the form, certifying that all the information provided is true and accurate.
Who needs dhhs moonlighting form:
01
Healthcare professionals seeking to work additional jobs or shifts outside of their primary employment.
02
Individuals who are employed by healthcare facilities or agencies that require moonlighting employees to fill out this form.
03
Those who want to ensure compliance with the regulations and policies set by the Department of Health and Human Services (dhhs) or other governing bodies in the healthcare industry.
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What is dhhs moonlighting form?
The dhhs moonlighting form is a document used by the Department of Health and Human Services (DHHS) to track and monitor moonlighting activities of its employees.
Who is required to file dhhs moonlighting form?
All DHHS employees who engage in moonlighting activities are required to file the dhhs moonlighting form.
How to fill out dhhs moonlighting form?
To fill out the dhhs moonlighting form, employees need to provide their personal information, details about their moonlighting activities, and any potential conflicts of interest.
What is the purpose of dhhs moonlighting form?
The purpose of the dhhs moonlighting form is to ensure transparency and accountability in the moonlighting activities of DHHS employees, while identifying and addressing any potential conflicts of interest.
What information must be reported on dhhs moonlighting form?
The dhhs moonlighting form requires employees to report their personal information, moonlighting job details, including employer name, hours worked, and compensation received, as well as any potential conflicts of interest.
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