Employment Forms

Thank you for completing your application with Main Street Dental Staffing.

If you have not yet completed your employment application, please click here.

To finish your onboarding, please complete the required employment forms below. These forms help us set up your payroll, tax withholding, and employment eligibility documentation.

Please make sure all information is complete and accurate before submitting.

Federal W-4 Form

Employee’s Withholding Certificate

Complete the Federal W-4 to tell us how much federal income tax should be withheld from your paycheck.

Complete the form online, print and sign it, then email us a scanned copy or clear photo of the signed form.

Oregon W-4 Form

Oregon Withholding Statement and Exemption Certificate

Complete the Oregon W-4 so we can calculate the appropriate Oregon state income tax withholding for your paycheck.

Complete the form online, print and sign it, then email us a scanned copy or clear photo of the signed form.

Form I-9

Employment Eligibility Verification

Federal law requires employees to complete Form I-9 to verify identity and authorization to work in the United States.

You will also need to provide acceptable identification documents as part of the verification process.

Complete the Form I-9 online, print and sign it and email us, then provide acceptable identification documents from the I-9 document list. Let us know if you have questions about document verification. 

Authorization for Background Check

As part of the employment and placement process, Main Street Dental Staffing may obtain background information about you for employment-related purposes.

By signing this, you authorize Main Street Dental Staffing and its authorized background screening provider to obtain information about you, where permitted by law, from sources that may include courts, law enforcement agencies, corrections agencies, public records, and other appropriate sources.

Before You Submit

Please review each form carefully and make sure your information is current and correct. If you have questions about how to complete a tax form, we recommend consulting a tax professional. Main Street Dental Staffing cannot provide individual tax advice.

For questions about the onboarding process, please contact us at:

info@mainstreetdentalstaffing.com