If you are a Temporary Nursing Service (TNS) agency and employed one or more fixed term travel nurses during calendar year 2012, you must submit the following documents due to CHIA on or before Monday, August 5, 2013.
- Fixed Term Travel Employee Disclosure Database (Excel)
- Fixed Term Travel Employee Certification Form - 2012 (PDF) | Word
Please see the document below for assistance in complete the Fixed Term Travel Disclosure Database:
Please email your FTTED CSV file to: hcf.data@State.MA.US.
Please mail or hand-deliver your Certification Form, including required signature, to
Fixed Term Travel Nurse Disclosure Intake Manager
Center for Health Information and Analysis
2 Boylston Street, 5th floor
Boston, MA 02116
If you have questions regarding the submission of this information; please contact the Center's Help Desk at 800-609-7232.