Embedded Files
All pages of benefits-related forms must be completed ELECTRONICALLY, then printed, signed, scanned as a .PDF, and emailed to HR@nkyhealth.org.
Please complete all the items that are on your checklist; you may skip any that are not on your checklist.
Photo and Image Consent
Photo and Image Consent
NKY Health
2 minutes
NKY Health may record, videotape and photograph my image and/or voice and use it for marketing, public relations, and employment relations purposes including but not limited to::
Company sites accessible by employees only.
Company and partner websites accessible to the public.
Employee newsletter.
Board newsletter.
Annual report.
I understand that:
No special compensation will be provided to me for use of my image.
I may not be informed in advance of the specific use of my image.
I may opt out by completing and submitting the Opt Out of Photo and Image Consent form to the left.
If I do not opt out, I am giving my consent.
If I change my mind later, I can either submit a new form or email webmaster@nkyhealth.org and let them know.
This does NOT include employee ID badges; Employees may not opt out of these.
Students, Supplemental Staff, Volunteers (All Except Employees)
Students, Supplemental Staff, Volunteers (All Except Employees)
Waiver and Release of Liability for Injury/Illness
NKY Health2 minutesWaiver and Release of Liability for Injury/Illness
If you are a student, volunteer, or supplemental staff (NOT an NKY Health employee), please complete and submit this form.
Here's how:
Click inside the box on the left to fill out the form. (No need to download anything.)
When finished, click "Submit."
Check your email.
Open the email titled something like "Yourlastname, Yourfirstname Waiver and Release Form" from "NKY Health."
Click "Provide Signature."
Sign the form.
Click "Submit Signature."
NOTE: If you ARE an NKY Health employee, you do not need to complete this form.
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