If you would like to submit a job order to Jaci Carroll Staffing
...please choose one of the methods below:
1. Call to speak with a Jaci Carroll staffing coordinator...
    Waterbury
     Torrington
     West Hartford
    		 203.574-4838
 860.496-0075
 860.561-3010

2. Fax a copy of your order to:
    Waterbury
     Torrington
     West Hartford
    		 203.756-9772
 860.496-1503
 860.561-3158
Fill out and submit the following form and your order will be e-mailed to Jaci Carroll.
Fields indicated with (*) are mandatory.
Date:
* Ordered by:
* Company
* Address
Phone Fax
* E-Mail Address
Attn. of Individuals or Dept.
Order No.
Release/Contract No.
Special Payroll Billing Information
Referred By:
Interview Dates:
Projected End Date:
Length of Assignment:
Hours Lunch
Functions:
Why Needed?: