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Nurse Staffing Invoice Template

Shift rates, night and weekend differentials, travel stipends and credentialing. Free PDF.

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A facility schedules in shifts and pays against its own schedule, so a nurse staffing invoice that bills in hours has to be converted by hand before anyone can approve it. The second thing this document has to get right is the split between what is billed for the work and what is reimbursed for the assignment — a travel stipend is neither a rate nor a margin, and burying it in one makes the whole invoice look like it carries an undisclosed uplift.

INVOICE Issued
Invoice number:INV-0001
Date of issue:September 19, 2026
Date due:October 3, 2026
Currency:USD
Issued by
Cascade Clinical Staffing
725 Southwest Alder Street
97205 Portland, OR
United States
billing@cascadeclinical.example
Bill to
Riverbend Regional Medical Center
1900 Cottonwood Drive
83702 Boise, ID
United States
ap@riverbendregional.example
Amount due
$12,502.00
Due in 14 days · Oct 3, 2026
Assignment
Billed against the signed assignment letter for the week ending on the date of issue. Shift confirmations are attached for every clinician named. Stipends are reimbursement and carry no markup.
Description Qty Rate Tax Amount
Registered nurses — day shifts, medical-surgical
Twelve-hour shifts on unit 4W, week ending Sunday
12$816.00—$9,792.00
Night shift differential
Applied to shifts starting after 19:00
6$114.00—$684.00
Weekend differential
Saturday and Sunday shifts on the same schedule
4$84.00—$336.00
Travel contract weekly stipend — K. Alvarez
Housing and meals, reimbursed at cost, no markup applied
1$1,320.00—$1,320.00
Credentialing recharged at cost
Background check and health screening, two clinicians
2$185.00—$370.00
Subtotal$12,502.00
Total$12,502.00
Amount due $12,502.00
Terms
Net 30. Differences against the facility's own schedule must be raised within 5 business days.
Invoice #INV-0001 · Cascade Clinical Staffing Page 1 of 1

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What to put on a nurse staffing invoice

  • Each clinician by name, licence type and the unit they were assigned to
  • Shifts by date and length, at the shift rate rather than converted into hours
  • Night, weekend and holiday differentials as their own lines, with the shifts they applied to
  • Called-off, cancelled and floated shifts, handled the way the assignment letter says
  • Weekly stipends on travel contracts, separated from the billed shift rate
  • Credentialing, licensure and health screening recharged at cost, per clinician

Questions

Should I bill by the shift or by the hour?

By the shift, where the assignment was agreed in shifts — which is most of them. The facility's scheduling system, the clinician's confirmation and your invoice then all count the same units, and nobody has to divide a total by twelve to check it. Hourly billing belongs to per-diem coverage sold by the hour.

How should a travel stipend appear?

On its own line, described as reimbursement, and outside anything the agreement lets you mark up. Housing and meal stipends are a pass-through against an assignment letter, and a facility that finds them folded into a shift rate will ask what else is in there.

Who pays for a shift the facility cancels?

Whatever the cancellation term in the assignment says, which is why the shift still belongs on the invoice with its status named. A cancelled shift dropped silently is a credit you gave away; one billed without saying it was cancelled is a dispute that holds up the rest of the invoice.

About the free invoice generator

Is this invoice generator really free?

Yes. There is no fee, no trial period and no watermark on the PDF. Nothing on this page requires a credit card.

Do I need to create an account?

No. Fill in the form and download the PDF directly — there is no sign-up and no login for this tool.

What file do I get?

A standard PDF, ready to attach to an email or print.

Can I add my own logo and bank details?

Yes. The seller section accepts a logo image and bank transfer details, which are printed on the invoice so your client knows how to pay you.

Is my data stored anywhere?

Nothing leaves your browser except when you download a PDF or save the invoice to an account. A draft is kept locally in your browser so it's still here if you come back, but there is no account behind this page and nothing is ever sent to our servers until you choose to.

Can I use this for any currency or country?

Yes. Choose any currency and country for either party — the totals and formatting follow your selection.

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