Step 4: Accept a Job Offer

To accept a job offer and begin working toward your service obligation, you must:

  1. Upload the three (3) employment placement documents. Review the instructions in the following section.
  2. REQUIRED: Notify NHSC when you accept a job offer.
  3. Submit a relocation request for reimbursement (if applicable).
  4. Notify the NHSC that you began employment.
  5. Review this information after you're employed.

1. Upload required employment placement documents

This table lists all three (3) required employment placement documents to begin your service obligation. Upload all documents into the Site Search section of the BHW Customer Service Portal. All documents must be approved for you to begin your service obligation.

Document Type Details
Offer & Acceptance Employment Form
Professional Exams/Board Scores
  • Physicians: USMLE or COMLEX Part III scores
  • Dentists: Integrated National Dental Board Examination 
  • Physician assistants, nurse practitioners, or nurse-midwives: Discipline-specific and, if applicable, a specialty-specific National Certification Exam
Licensure

Unrestricted license in state you are practicing in

- OR -

Licensure from any state for federal sites (i.e., Indian Health Services, federal prison, Immigration & Customs)

Instructions to upload employment placement documents

In the BHW Customer Service Portal, under Activities, select Site Search and upload all three (3) required documents into the Documents section.

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2. Notify NHSC when you accept a job offer

  • You must notify your NHSC Regional Analyst when you accept a job offer.
  • Submit this notification through the Question (ID#) assigned for employment correspondence.
  • In the BHW Portal, under Activities, open the assigned Question (ID#) then select "Contact Us" at the bottom of the message to directly notify your NHSC Regional Analyst.  

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  • You may accept a job offer and send this notification without having licensure as state delays are common.
  • NHSC will confirm receipt of your job offer notification and the status of your employment placement documents.

3. Submit a relocation request for reimbursement (if applicable) at least 21 business days in advance

Important

Do not relocate without prior approval from NHSC. If you do not have prior approval from NHSC, your expenses will not be reimbursed.

  1. Review relocation process rules, since NHSC assists with relocation costs.
  2. To begin, you MUST FIRST upload the NHSC Offer & Acceptance Employment Form (at a minimum) to submit a relocation request.
    • Upload your licensure and Professional Exam/Board Scores at that time, if you have them.
  3. In the BHW Customer Service Portal, under I Need To, select Request Scholar Travel or Relocation.  

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  4. Choose a relocation option: Government-Managed option or Self-move.
  5. Within three business days, you will receive a notification in BHW Customer Service Portal whether your request is approved or denied.
  6. If your relocation request is approved, NHSC will notify the federal travel contractor, Civility Management Solutions (CivilityMS). CivilityMS is your main resource for travel and reimbursement questions.
  7. KEEP ALERT. CivilityMS will send you an email from Transitiontoservice@CivilityMS.com with steps on booking an appointment to arrange relocation and provide reimbursement guidance.
  8. Confirm your email address and phone number in the BHW Customer Service Portal is correct so CivilityMS can contact you.

4. Notify NHSC that you began employment

  • On your start date, you must notify your NHSC Regional Analyst that you began employment. If you did not begin employment on your scheduled start date, provide your new start date.
  • Submit this notification through the Question (ID#) assigned for employment correspondence.
  • In the BHW Portal, under Activities, open the assigned Question (ID#) then select "Contact Us" at the bottom of the message to confirm you began work on your scheduled start date.
  • This message alerts NHSC to begin the administrative process to convert you to ACTIVE-ON Duty status, which means you began working towards your service obligation. NHSC will notify you through the BHW Customer Service Portal when this process is complete. Your first day of employment begins your service obligation.

5. Review this information after you're employed

  • Once you begin working at an NHSC-active site, your status in our system will reflect as "ACTIVE – ON DUTY" which means you began working towards your NHSC service obligation.

During your service obligation: If you have questions or need assistance:

Date Last Reviewed: