EXTERN CONFIRMATION AND CONSENT FORM

All externs will receive $50.00/week for reimbursement of living expenses while at QVC. These monies are not meant to be, nor do they imply, any employment arrangement between said extern and QVC. Hence, externs will not be eligible to receive workmen's compensation in the event of a work-related injury that may occur while externing at QVC.

If yes: please send proof of coverage. You may scan and upload documents below or send separately to the attention of Dr. Harding.
If no:  QVC will buy coverage for you. We will send you a form to fill out and send back to us.

All externs are required to provide adequate health insurance for themselves in case of any injury that may occur during their externship at QVC. Please provide proof of health insurance that identifies your carrier and the expiration date of your policy. Enclose a photocopy of any document or card providing this information for our records.

You may upload documents here or submit documents separately via fax, mail or email:

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