I certify by signing this section that this agency has documentation on file that each employee contracted to a health care facility in Maine during the reporting period had a current, unrestricted license or certification in good standing and met the training and continuing education standards required by state and federal law for the position with the health care facility throughout the entirety of the reporting period. If requested, actual documentation will be provided to the Division of Licensing and Certification.

I certify by signing this section that this temporary nurse agency has documentation showing that each employee contracted to a healthcare facility in Maine has successfully completed all background checks required by federal and state law during the reporting period.

I certify by signing below that the information in the above sections is an accurate account of this agency’s work in Maine and the costs associated with supporting Maine health care settings.