Atlassian uses cookies to improve your browsing experience, perform analytics and research, and conduct advertising. Accept all cookies to indicate that you agree to our use of cookies on your device. Atlassian cookies and tracking notice, (opens new window)
We’ve Got You Covered! Tell Us What You Need Using the Options Below. 👇
Contracts
Perm Placement
Automated process for obtaining Sales approval and Legal review of Perm Placement and Direct Hire invoice requests
Required fields are marked with an asterisk*
{"xsrfToken":"a6c4bd8fcd9644f12e73243df80a47314b8ead03_lout","branding":{"id":"30","key":"legal","name":"Legal Support Portal","portalBaseUrl":"/servicedesk/customer/portal/30","logoUrl":"/rest/servicedesk/1/customer/viewport-resources/portal-logo/30/18","theme":{"headerBGColor":"#ffffff","headerLinkColor":"#292929","headerLinkHoverColor":"#6a3b8f","headerLinkHoverBGColor":"#6a3b8f","headerBadgeColor":"#6a3b8f"}},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/f13d7d34-b634-455c-869f-f313561847e1/image/cdn?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI4NWRiNTk3Mi05ZTFiLTQ4NDQtOGYxYS0zZDA0MDE0OGRjNmYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmYxM2Q3ZDM0LWI2MzQtNDU1Yy04NjlmLWYzMTM1NjE4NDdlMSI6WyJyZWFkIl19LCJleHAiOjE3NzU0Mjg3NDQsIm5iZiI6MTc3NTQyODE0NH0.eziCxD6YWnsa1hdxE2peGXFqke95oRnuJjF2gKxgj1w&client=85db5972-9e1b-4844-8f1a-3d040148dc6f&mode=fit","logoId":"f13d7d34-b634-455c-869f-f313561847e1","isLogoAvailable":true,"helpCenterTitle":"Welcome, How Can We Help You?","sharedPortalName":"J+C Service Excellence","userInitialAnnouncementHeader":"Welcome!","translations":{"en-US":{"helpCenterTitle":"Welcome, How Can We Help You?","sharedPortalName":"J+C Service Excellence","announcementHeader":"Welcome!","localeDisplayName":"English (United States)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-US","userLanguageTag":"en-US","portalThemeColor":"#3c1a52","helpCenterTitleColor":"#8247af","bannerMediaApiUrl":"https://api.media.atlassian.com/file/bcc4529f-edf4-41b8-8700-a60e2fa82e9c/image/cdn?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI4NWRiNTk3Mi05ZTFiLTQ4NDQtOGYxYS0zZDA0MDE0OGRjNmYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmJjYzQ1MjlmLWVkZjQtNDFiOC04NzAwLWE2MGUyZmE4MmU5YyI6WyJyZWFkIl19LCJleHAiOjE3NzU0Mjg3NDQsIm5iZiI6MTc3NTQyODE0NH0.bOYlky_I3jqfUkr4UNVynRHXg6llG39XxGWc6c1HxSc&client=85db5972-9e1b-4844-8f1a-3d040148dc6f&height=300&mode=fit","bannerMediaApiFileId":"bcc4529f-edf4-41b8-8700-a60e2fa82e9c","useDefaultBanner":false,"isBannerAvailable":true,"hasTopBarBeenSplit":false},"portal":{"id":"30","key":"legal","projectId":10070,"serviceDeskId":30,"name":"Legal Support Portal","description":"<p>We’ve Got You Covered! Tell Us What You Need Using the Options Below. \uD83D\uDC47</p>","portalBaseUrl":"/servicedesk/customer/portal/30","reqTypes":[{"id":"213","name":"Client or Provider Risk Issue","descriptionHtml":"","callToAction":"Client or Provider Risk Issue","introHtml":"<p>Zero-Day Notice | Complaint/Incident | Payment or Collections Issue | Lawsuit-Related | Licensing Board Matter</p>","icon":11413,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11413","groups":[103],"key":""},{"id":"459","name":"Contract Review - Client","descriptionHtml":"","callToAction":"Contract Review - Client","introHtml":"<p>Client or Staffing Services Agreement (including VMS/MSP) | In-Process Redlines | Renewal | Statement of Work (SOW) | Amendment | Addendum</p>","icon":11411,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11411","groups":[136],"key":""},{"id":"233","name":"Contract Review - Contractor","descriptionHtml":"","callToAction":"Contract Review - Contractor","introHtml":"<p>Objections raised by or Contract Revisions requested by Contractor</p>","icon":11411,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11411","groups":[136],"key":""},{"id":"756","name":"Contractual Guidance Request","descriptionHtml":"","callToAction":"Contractual Guidance Request","introHtml":"<p>A brief, one-time legal question that does not require full contract review or deep research. Typically, strategic or risk-related.</p>","icon":11702,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11702","groups":[136],"key":""},{"id":"558","name":"D2C Telehealth Request","descriptionHtml":"","callToAction":"D2C Telehealth Request","introHtml":"<p>Request Legal assistance with screening a new potential telehealth client or for guidance before opening telehealth orders for an existing Client.</p>","icon":11706,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11706","groups":[136],"key":""},{"id":"234","name":"J+C Template Request ","descriptionHtml":"<p>NOTE: Legal will not proceed with creating a new template without approval from the appropriate DVP or above)</p>","callToAction":"J+C Template Request ","introHtml":"<p>Direct Hire (Permanent Placement) | Fee Splitting Agreement | NDA | California-Specific Agreement</p>","icon":11703,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11703","groups":[136],"key":""},{"id":"236","name":"Miscellaneous/Other","descriptionHtml":"","callToAction":"Miscellaneous/Other","introHtml":"<p>Examples: HR-Related | Legal Compliance Questions | Training Support | Other</p>","icon":11415,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11415","groups":[103],"key":""},{"id":"1021","name":"Pain Management","descriptionHtml":"","callToAction":"Pain Management","introHtml":"<p>Initiates the internal review and approval process for Pain Management Client Screening Forms (Part 1 and Part 2)</p>","icon":12071,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/12071","groups":[103],"key":""},{"id":"215","name":"Perm Placement","descriptionHtml":"","callToAction":"Perm Placement","introHtml":"<p>Automated process for obtaining Sales approval and Legal review of Perm Placement and Direct Hire invoice requests</p>","icon":11412,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11412","groups":[136],"key":""},{"id":"559","name":"Comment Handler","descriptionHtml":"","callToAction":"Comment Handler","introHtml":"","icon":11707,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11707","groups":[],"key":""},{"id":"690","name":"Employment","descriptionHtml":"","callToAction":"Employment","introHtml":"","icon":11933,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11933","groups":[],"key":""}],"reqGroups":[{"id":136,"name":"Contracts"},{"id":103,"name":"Non-Contracts"}],"orderMapping":{"66":[214,215],"103":[213,236,921,1021],"136":[459,233,214,215,234,460,756,558],"67":[236],"65":[233],"64":[234],"63":[234]},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"createPermission":true,"portalAnnouncement":{"portalId":30,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"LEGAL","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI4NWRiNTk3Mi05ZTFiLTQ4NDQtOGYxYS0zZDA0MDE0OGRjNmYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtdXNlci1jb2xsZWN0aW9uLTY1NjM2OTc1NSI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3NzU0MjkzNDQsIm5iZiI6MTc3NTQyODE0NCwiYW5vbklkIjoiYW5vbi11c2VyIiwiaHR0cHM6Ly9pZC5hdGxhc3NpYW4uY29tL2FwcEFjY3JlZGl0ZWQiOmZhbHNlfQ.-_toC-0hKBkRYsCkZan-kkZDHk0bjNfVcfL7ULR4amQ","targetCollection":"upload-user-collection-656369755","endpointUrl":"https://api.media.atlassian.com","clientId":"85db5972-9e1b-4844-8f1a-3d040148dc6f","tokenDurationInMins":20}},"reqCreate":{"id":215,"projectId":10070,"issueType":{"id":"10120","name":"Perm Placements"},"form":{"name":"Perm Placement","descriptionHtml":"","callToAction":"Perm Placement","intro":"<p>Automated process for obtaining Sales approval and Legal review of Perm Placement and Direct Hire invoice requests</p>","instructions":"","icon":11412,"iconUrl":"https://jc.support.jacksoncoker.com/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/11412","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"summary","fieldId":"summary","fieldConfigId":"","label":"Summary","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["Perm Placement"]}],"userOrganisations":[],"canBrowseUsers":true,"requestCreateBaseUrl":"/servicedesk/customer/portal/30/create/215","requestValidateBaseUrl":"/servicedesk/customer/portal/30/validate/215","calendarParams":{"firstDay":0,"date":"2026-04-05T18:29:04-0400","useISO8601WeekNumbers":true,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":true,"showRecaptcha":true,"siteKey":"6LePXLkdAAAAAF4gCNalrL1IvZcqbNbZf_Zakudd","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI4NWRiNTk3Mi05ZTFiLTQ4NDQtOGYxYS0zZDA0MDE0OGRjNmYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtdXNlci1jb2xsZWN0aW9uLTY1NjM2OTc1NSI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3NzU0MjkzNDQsIm5iZiI6MTc3NTQyODE0NCwiYW5vbklkIjoiYW5vbi11c2VyIiwiaHR0cHM6Ly9pZC5hdGxhc3NpYW4uY29tL2FwcEFjY3JlZGl0ZWQiOmZhbHNlfQ.-_toC-0hKBkRYsCkZan-kkZDHk0bjNfVcfL7ULR4amQ","targetCollection":"upload-user-collection-656369755","endpointUrl":"https://api.media.atlassian.com","clientId":"85db5972-9e1b-4844-8f1a-3d040148dc6f","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":6,"updated":"2025-09-12T12:55:24.266579850Z","publish":{"jira":{"newIssueRequestTypeIds":[215],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[215],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":6,"name":"Perm Placements","submit":{"lock":true,"pdf":true},"templateFormUuid":"b812c769-e799-4d20-b7f7-9277b3fd4ca2"},"layout":[{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":66.66},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":52},"layout":"default","localId":"2ea6f379-59d0-459e-89a3-8d494864c49d"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":40},"layout":"default","localId":"a68a29c4-edca-4523-94d9-19ac0a1b4267"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":55},"layout":"default","localId":"30d8a31f-d9d6-40d5-9ef2-37b6b2910899"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":56},"layout":"default","localId":"0bef74f1-2a2d-495c-b74d-6ee8576e1cb0"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":41},"layout":"default","localId":"be00b7fb-7a20-4c06-bfa8-d37fd21f9f81"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":13},"layout":"default","localId":"40711c5c-ccfe-4ccc-bff0-e7a6a646a0b1"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":18},"layout":"default","localId":"d0c81945-20d6-475d-9162-83085cc608a8"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":42},"layout":"default","localId":"fda6d272-3dd5-473a-913e-18480a0db0ea"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":57},"layout":"default","localId":"f8804b2e-3b9a-4fed-bb56-07e975770566"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":58},"layout":"default","localId":"a18c2faf-9f52-4bbc-9b69-9b3925fe57f7"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":60},"layout":"default","localId":"0b37c375-f6fc-4dc6-bd0c-85072ba72280"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":61},"layout":"default","localId":"511feff8-b0ec-4404-81ed-77a9f0127270"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":62},"layout":"default","localId":"f0ad6672-f2de-4316-bf8d-3a0bb1af439d"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":26},"layout":"default","localId":"bf375a7c-1b88-4f33-bb39-421479b7a13c"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":27},"layout":"default","localId":"9f7beba1-3990-4199-86b2-265bfe3dd0b8"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":28},"layout":"default","localId":"7a10f7e9-c801-4c15-84cb-e5e1f3cfb4ca"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":29},"layout":"default","localId":"78342658-e88c-45e2-95fd-386751e816e9"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":30},"layout":"default","localId":"c0c633d3-6cbd-4838-9016-d5c55622ff65"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":31},"layout":"default","localId":"c7449a8a-11a5-443c-95f6-a12b95e7cfa6"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":33},"layout":"default","localId":"a8c81e1d-2669-4b8e-a8ab-69556bb2626e"}},{"type":"panel","attrs":{"panelType":"note"},"content":[{"type":"paragraph","attrs":{"localId":"d22f93d7-e07f-42a9-89a4-d3794ff3727b"},"content":[{"type":"text","text":"Note: ","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"d22f93d7-e07f-42a9-89a4-d3794ff3727b"},"content":[{"type":"text","text":"Once your request is approved by Legal, it is automatically routed to accounting."}]}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"1c04b1a9-acd2-4f7e-b17c-9d6e624c880f"},"content":[{"type":"text","text":"Legal does not have visibility into the status or actions taken after approval."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"99baefbd-b430-424d-a302-b2e6830a436d"},"content":[{"type":"text","text":"All permanent placement fees will be accrued in the month the request is approved."}]}]}]}]},{"type":"paragraph","content":[]}]}],"conditions":{"25":{"i":{"co":{"cIds":{"57":["12746"]}}},"o":{"sIds":["1"]},"t":"sh"}},"sections":{"1":{"name":"Show Field(s) - VMS Or Gov = VMS","conditions":["25"]},"2":{"name":"Continue New Request Form","conditions":[]}},"questions":{"62":{"type":"da","label":"Start Date","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"40":{"type":"da","label":"Requested Due Date","description":"","validation":{"rq":true},"jiraField":"customfield_10999","questionKey":""},"33":{"type":"at","label":"Please Attach The Client Agreement","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"26":{"type":"tl","label":"Name Of Vendor","description":"","validation":{"rq":true},"jiraField":"customfield_11684","questionKey":""},"57":{"type":"cs","label":"Is Client VMS or GOVT?","description":"","validation":{"rq":true},"jiraField":"customfield_11884","questionKey":""},"60":{"type":"ts","label":"Perm Amount","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"31":{"type":"rt","label":"Additional Comments","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"58":{"type":"ts","label":"Booking ID","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"42":{"type":"cd","label":"Work Location State","description":"","validation":{"rq":true},"jiraField":"customfield_10485","questionKey":""},"27":{"type":"cs","label":"Cancelling Locum Days?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"18":{"type":"cd","label":"Governing Law State","description":"","validation":{"rq":true},"jiraField":"customfield_11257","questionKey":""},"30":{"type":"rt","label":"If Negotiated Lower Or Higher Fee, Provide Details","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"52":{"type":"um","label":"Request Participants","description":"","validation":{"rq":false},"jiraField":"customfield_11948","questionKey":""},"28":{"type":"cs","label":"LT To Perm Or Straight Perm","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"LT To Perm","other":false},{"id":"2","label":"Straight Perm/Direct Hire","other":false}],"questionKey":""},"56":{"type":"um","label":"RC","description":"","validation":{"rq":true},"jiraField":"customfield_11883","questionKey":""},"55":{"type":"um","label":"CC","description":"","validation":{"rq":true},"jiraField":"customfield_11882","questionKey":""},"61":{"type":"cs","label":"Bill To","description":"Who will be billed for this perm placement?","validation":{"rq":true},"choices":[{"id":"1","label":"Client","other":false},{"id":"2","label":"Contractor","other":false}],"questionKey":""},"13":{"type":"tl","label":"Contractor Name & Title","description":"MD,DO,PA,CRNA,NP,CNM","validation":{"rq":true},"jiraField":"customfield_10106","questionKey":""},"29":{"type":"no","label":"How Many Locums Days Worked?","description":"","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"41":{"type":"tl","label":"Client Name","description":"","validation":{"rq":true},"jiraField":"customfield_10895","questionKey":""}}},"uuid":"b812c769-e799-4d20-b7f7-9277b3fd4ca2"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":6,"updated":"2025-09-12T12:55:24.266579850Z","publish":{"jira":{"newIssueRequestTypeIds":[215],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[215],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":6,"name":"Perm Placements","submit":{"lock":true,"pdf":true},"templateFormUuid":"b812c769-e799-4d20-b7f7-9277b3fd4ca2"},"layout":[{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":66.66},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":52},"layout":"default","localId":"2ea6f379-59d0-459e-89a3-8d494864c49d"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":40},"layout":"default","localId":"a68a29c4-edca-4523-94d9-19ac0a1b4267"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":55},"layout":"default","localId":"30d8a31f-d9d6-40d5-9ef2-37b6b2910899"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":56},"layout":"default","localId":"0bef74f1-2a2d-495c-b74d-6ee8576e1cb0"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":41},"layout":"default","localId":"be00b7fb-7a20-4c06-bfa8-d37fd21f9f81"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":13},"layout":"default","localId":"40711c5c-ccfe-4ccc-bff0-e7a6a646a0b1"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":18},"layout":"default","localId":"d0c81945-20d6-475d-9162-83085cc608a8"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":42},"layout":"default","localId":"fda6d272-3dd5-473a-913e-18480a0db0ea"}}]}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":57},"layout":"default","localId":"f8804b2e-3b9a-4fed-bb56-07e975770566"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":58},"layout":"default","localId":"a18c2faf-9f52-4bbc-9b69-9b3925fe57f7"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":60},"layout":"default","localId":"0b37c375-f6fc-4dc6-bd0c-85072ba72280"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":61},"layout":"default","localId":"511feff8-b0ec-4404-81ed-77a9f0127270"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":62},"layout":"default","localId":"f0ad6672-f2de-4316-bf8d-3a0bb1af439d"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":26},"layout":"default","localId":"bf375a7c-1b88-4f33-bb39-421479b7a13c"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":27},"layout":"default","localId":"9f7beba1-3990-4199-86b2-265bfe3dd0b8"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":28},"layout":"default","localId":"7a10f7e9-c801-4c15-84cb-e5e1f3cfb4ca"}}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":29},"layout":"default","localId":"78342658-e88c-45e2-95fd-386751e816e9"}}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":30},"layout":"default","localId":"c0c633d3-6cbd-4838-9016-d5c55622ff65"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":31},"layout":"default","localId":"c7449a8a-11a5-443c-95f6-a12b95e7cfa6"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":33},"layout":"default","localId":"a8c81e1d-2669-4b8e-a8ab-69556bb2626e"}},{"type":"panel","attrs":{"panelType":"note"},"content":[{"type":"paragraph","attrs":{"localId":"d22f93d7-e07f-42a9-89a4-d3794ff3727b"},"content":[{"type":"text","text":"Note: ","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"d22f93d7-e07f-42a9-89a4-d3794ff3727b"},"content":[{"type":"text","text":"Once your request is approved by Legal, it is automatically routed to accounting."}]}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"1c04b1a9-acd2-4f7e-b17c-9d6e624c880f"},"content":[{"type":"text","text":"Legal does not have visibility into the status or actions taken after approval."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"99baefbd-b430-424d-a302-b2e6830a436d"},"content":[{"type":"text","text":"All permanent placement fees will be accrued in the month the request is approved."}]}]}]}]},{"type":"paragraph","content":[]}]}],"conditions":{"25":{"i":{"co":{"cIds":{"57":["12746"]}}},"o":{"sIds":["1"]},"t":"sh"}},"sections":{"1":{"name":"Show Field(s) - VMS Or Gov = VMS","conditions":["25"]},"2":{"name":"Continue New Request Form","conditions":[]}},"questions":{"62":{"type":"da","label":"Start Date","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"40":{"type":"da","label":"Requested Due Date","description":"","validation":{"rq":true},"jiraField":"customfield_10999","questionKey":""},"33":{"type":"at","label":"Please Attach The Client Agreement","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"26":{"type":"tl","label":"Name Of Vendor","description":"","validation":{"rq":true},"jiraField":"customfield_11684","questionKey":""},"57":{"type":"cs","label":"Is Client VMS or GOVT?","description":"","validation":{"rq":true},"jiraField":"customfield_11884","questionKey":""},"60":{"type":"ts","label":"Perm Amount","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"31":{"type":"rt","label":"Additional Comments","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"58":{"type":"ts","label":"Booking ID","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"42":{"type":"cd","label":"Work Location State","description":"","validation":{"rq":true},"jiraField":"customfield_10485","questionKey":""},"27":{"type":"cs","label":"Cancelling Locum Days?","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"questionKey":""},"18":{"type":"cd","label":"Governing Law State","description":"","validation":{"rq":true},"jiraField":"customfield_11257","questionKey":""},"30":{"type":"rt","label":"If Negotiated Lower Or Higher Fee, Provide Details","description":"","validation":{"rq":true},"choices":[],"questionKey":""},"52":{"type":"um","label":"Request Participants","description":"","validation":{"rq":false},"jiraField":"customfield_11948","questionKey":""},"28":{"type":"cs","label":"LT To Perm Or Straight Perm","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"LT To Perm","other":false},{"id":"2","label":"Straight Perm/Direct Hire","other":false}],"questionKey":""},"56":{"type":"um","label":"RC","description":"","validation":{"rq":true},"jiraField":"customfield_11883","questionKey":""},"55":{"type":"um","label":"CC","description":"","validation":{"rq":true},"jiraField":"customfield_11882","questionKey":""},"61":{"type":"cs","label":"Bill To","description":"Who will be billed for this perm placement?","validation":{"rq":true},"choices":[{"id":"1","label":"Client","other":false},{"id":"2","label":"Contractor","other":false}],"questionKey":""},"13":{"type":"tl","label":"Contractor Name & Title","description":"MD,DO,PA,CRNA,NP,CNM","validation":{"rq":true},"jiraField":"customfield_10106","questionKey":""},"29":{"type":"no","label":"How Many Locums Days Worked?","description":"","validation":{"rq":true,"wh":false},"choices":[],"questionKey":""},"41":{"type":"tl","label":"Client Name","description":"","validation":{"rq":true},"jiraField":"customfield_10895","questionKey":""}}},"uuid":"b812c769-e799-4d20-b7f7-9277b3fd4ca2"},"linkedJiraFields":["customfield_10106","customfield_10999","customfield_11948","customfield_11883","customfield_10485","customfield_11882","customfield_11684","customfield_11257","customfield_11884","customfield_10895"]},"key":""},"portalWebFragments":{"headerPanels":[{"params":{},"key":"com.atlassian.plugins.atlassian-connect-plugin:jsd-status-page__sd-portal-header-create_request","name":"sd-portal-header","html":"<div class=\"ap-container\" id=\"ap-jsd-status-page__sd-portal-header-create_request\">\n\n <div class=\"ap-content \" id=\"embedded-jsd-status-page__sd-portal-header-create_request\"></div>\n <script class=\"ap-iframe-body-script\">\n (function(){\n var data = {\n \"addon_key\":\"jsd-status-page\",\n \"uniqueKey\":\"jsd-status-page__sd-portal-header-create_request\",\n \"key\":\"sd-portal-header-create_request\",\n \"moduleType\":\"webPanels\", \"moduleLocation\":\"servicedesk.portal.header.create_request\", \"title\":\"sd-portal-header\", \"cp\":\"\",\n \"general\":\"\",\n \"w\":\"\",\n \"h\":\"\",\n \"url\":\"https://jsd-status-page.us-west-1.prod.public.atl-paas.net/portal-header/30?xdm_e=https%3A%2F%2Fjc.support.jacksoncoker.com&xdm_c=channel-jsd-status-page__sd-portal-header-create_request&cp=&xdm_deprecated_addon_key_do_not_use=jsd-status-page&lic=none&userAccess=true&cv=1001.0.0-SNAPSHOT&jwt=eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJxc2giOiJlOGVmMTM5YWI2NTNjNmNiZDFmODkyYWM2NWJjMmZiMThkZjA3OGZlYjBkMTMwZjg3NjY2ZTZlYWZlNzVmMzYxIiwiaXNzIjoiNmM5ZWY1YjQtNWYyNC0zN2YwLWI5M2MtZDRkMGM2NTRkNGE1IiwiY29udGV4dCI6e30sImV4cCI6MTc3NTQyOTA0NCwiaWF0IjoxNzc1NDI4MTQ0fQ.oE21s3OVoulGB_hRPjjdWPZ-KL1P0-2goIoPRHkDLIY\",\n \"contextJwt\": \"eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJxc2giOiJjb250ZXh0LXFzaCIsImlzcyI6IjZjOWVmNWI0LTVmMjQtMzdmMC1iOTNjLWQ0ZDBjNjU0ZDRhNSIsImNvbnRleHQiOnsibmF2Ijp7ImlzTmV3TmF2aWdhdGlvbiI6dHJ1ZX0sInVybCI6eyJkaXNwbGF5VXJsIjoiaHR0cHM6XC9cL2pjbHQuYXRsYXNzaWFuLm5ldCIsImRpc3BsYXlVcmxTZXJ2aWNlZGVza0hlbHBDZW50ZXIiOiJodHRwczpcL1wvamMuc3VwcG9ydC5qYWNrc29uY29rZXIuY29tIn0sImppcmEiOnsicHJvamVjdCI6eyJrZXkiOiJMRUdBTCIsImlkIjoiMTAwNzAifX19LCJleHAiOjE3NzU0MjkwNDQsImlhdCI6MTc3NTQyODE0NH0.DzBxIx1fiwP4UwyuXBmlA8cCmzwuvkBR4CxlQCGWVh0\", \"structuredContext\": \"{\\\"nav\\\":{\\\"isNewNavigation\\\":true},\\\"url\\\":{\\\"displayUrl\\\":\\\"https://jclt.atlassian.net\\\",\\\"displayUrlServicedeskHelpCenter\\\":\\\"https://jc.support.jacksoncoker.com\\\"},\\\"jira\\\":{\\\"project\\\":{\\\"key\\\":\\\"LEGAL\\\",\\\"id\\\":\\\"10070\\\"}}}\",\n \"contentClassifier\":\"\",\n \"productCtx\":\"{\\\"project.key\\\":\\\"LEGAL\\\",\\\"project.id\\\":\\\"10070\\\",\\\"servicedesk.serviceDeskId\\\":\\\"30\\\",\\\"servicedesk.requestTypeId\\\":\\\"215\\\"}\",\n \"timeZone\":\"America/New_York\",\n \"origin\":\"https://jsd-status-page.us-west-1.prod.public.atl-paas.net\",\n \"hostOrigin\":\"https://jc.support.jacksoncoker.com\",\n \"sandbox\":\"allow-downloads allow-forms allow-modals allow-popups allow-popups-to-escape-sandbox allow-scripts allow-same-origin allow-top-navigation-by-user-activation allow-storage-access-by-user-activation\", \"apiMigrations\": {\n \"gdpr\": true\n }\n}\n;\n if(window.AP && window.AP.subCreate) {\n window._AP.appendConnectAddon(data);\n } else {\n require(['ac/create'], function(create){\n create.appendConnectAddon(data);\n });\n }\n }());\n</script>\n\n</div>\n"}],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}