Temporary Labour Proposal Form

TEMPORARY LABOUR PROPOSAL FORM

Proposal Header

Client Name:   Company:

Client Contact:   Title:

Client Phone:   Client Email:

Proposal Date:   Proposed By (Agency):

Agency Contact:   Agency Phone:

Candidate / Worker Details

Phone:   Email:

Position & Assignment Information

Department:   Reporting Manager:

Proposed Start Date:   Expected End Date:   Estimated Duration (weeks):

Work Location:   Shift:

Compensation & Billing

Worker Hourly Pay Rate: $   Bill Rate to Client: $   Overtime Rate: $

Markup (%):   Estimated Weekly Hours:   Estimated Weekly Cost to Client: $

Invoicing Frequency:   Payment Terms:

Employment History (Most Recent)

Title:   Dates Employed:

Title:   Dates Employed:

Education

Graduation Date:

Professional References

Phone:   Email:   Relationship:

Phone:   Email:   Relationship:

Phone:   Email:   Relationship:

Legal Disclosures & Authorizations

At-Will Placement: The Agency is offering temporary placement of the worker to the Client. Neither placement nor any action by the Client or Agency shall be construed to create a permanent employment relationship between the Client and the worker. Either the Client or the Agency may terminate the assignment at any time in accordance with the terms below.

Equal Opportunity: The Agency and Client represent that recruitment, selection and placement will be conducted without unlawful discrimination. The Client agrees to permit the Agency to make reasonable accommodations required by applicable law.

Background Checks and Drug Screening: By checking consent below, the worker authorizes the Agency to obtain employment references, background checks, and drug test results as required by the Client and permitted by law.

  I consent to background checks, employment reference checks, and drug screening as required for placement.

  I authorize previous employers to provide reference information to the Agency.

Applicant Certification

I certify that the information contained in this proposal and related attachments is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission may result in withdrawal of this proposal or termination of any placement. I authorize the Agency and Client to verify all statements and obtain any information necessary to evaluate suitability for the assignment.

Applicant Initials:   Printed Name:   Date:

Terms of Engagement & Liability

Termination & Replacement: Either party may terminate the assignment by providing written notice to the other party as specified in this proposal. If the worker is terminated for cause within the first 40 hours, the Agency will use reasonable efforts to provide a qualified replacement consistent with Client requirements; replacement obligations are limited to the Agency's sole discretion and availability.

Insurance & Liability: The Agency warrants that it maintains workers' compensation and employer liability insurance as required by law. The Client shall be responsible for site safety, supervision, and providing any required personal protective equipment. The Client agrees to indemnify and hold the Agency harmless from claims arising from the Client's negligence, except to the extent caused by the Agency's gross negligence or willful misconduct.

Additional Terms / Special Requirements

Acceptance (Signature Required)

The undersigned, authorized representatives of the Agency and the Client, acknowledge and accept the terms of this Temporary Labour Proposal. Upon execution, this document constitutes the agreement for the temporary placement described herein, subject to the terms and conditions stated above.

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