L APPLIES TO TEMPORARY APPLICANTS ONLY IE DETECTOR NOTIFICATION

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ANNUAL LEAVE POLICY THIS INSTRUCTION APPLIES TO REFERENCE PROVIDERS
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Lie Detector Notification for Massachusetts and Maryland (e2351)

Applies to: Temporary Applicants Only

IE DETECTOR NOTIFICATION FOR
MASSACHUSETTS AND MARYLAND

Complete all applicable sections of this form and return it to your Kelly representative as directed.
Branch staff only: Document completion under Forms/Videos in KSN.

Applicants applying for work in Maryland:

NOTICE AND DISCLOSURE

Under the MD Code Title 3, Subtitle 7, Section 3-702: Each application for employment shall set out, in bold-faced upper case type, the following notice:

"Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a polygraph examination or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100."

Applicants applying for work in Massachusetts:

NOTICE AND DISCLOSURE

Under MA General Laws c. 149, § 19B: All applications for employment within the commonwealth shall be provided the following notice:

“It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.”

ACKNOWLEDGMENT:

My signature below acknowledges that I have been notified by Kelly Services, Inc. (“Kelly”) that it is unlawful to administer lie detector/polygraph tests as a condition of employment.

Full Legal Name (Printed)

/ /

Signature Date (mm/dd/yy)

 2011 Kelly Services, Inc. e2351 7/11

CAUTION: Printed versions of this document are uncontrolled and may not be current. Please access KellyWeb.

ARCHIVING RETENTION AND DISPOSAL POLICY THIS INSTRUCTION APPLIES TO
CALOSHA REPORTABLE HAZARDOUS CHEMICALS SCOPE APPLIES TO OCCUPATIONAL SETTINGS
CEREBRA LEAP PROJECT TEMPLATE LETTER THIS LETTER APPLIES TO

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