Employment Verification Letter Request

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Employment Verification Letter Request
To: Employment Services
From (Name):______________________________________________ Telephone No:_____________________
Ref Employment Letter for:
Last Name: ___________________ First Name: _________________ Personnel No (or SSN): _______________
Date of Employment: ____________________________
Job Title: ______________________________ Work Location: _______________________________________
YES or NO
Please circle
if you would like your income information included in this verification letter.
Additional Comments:
____________________________________________________________________________________________
Please check one below
___ I will pick up document, call _______________________ when ready.
Telephone Number
____ Email document to ________________________________________
Email address
____ Mail to home address in SAP
____ Mail to the following address ______________________________________________________________
____________________________________________________________________________________________
------------------------------------------------------------------------------------------------------------------------------------------------------
To email this form – send as an attachment to
To fax this form – fax to (754) 321-0900
To mail this form – mail to: Employment Services, 7720 W. Oakland Park Blvd., Suite 101A, Sunrise,
FL 33351-6704
\\record02\Shared\ADMIN\Employment Services Website\@workdocs\Request Employment Verification Letter REV.docx

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