Employment Verification Request printable pdf download

Employment Verification Request

Human Resources Department

Phone: 617-582-0100

Fax: 617-582-0165

EMPLOYMENT VERIFICATION REQUEST

I, __________________________________________, employee number _______________

Here by authorize Brigham and Women’s Human Resources department to furnish the

following information to:

Requesting Agent

Address

___________________________________

___________________________

Authorizing Signature

Date

Please allow two (2) business days for processing

Date of hire: ________________________________________________________

Position: ___________________________________________________________

Standard hours: ______________________________________________________

Termination date: _____________________________________________________

Other (please specify): _________________________________________________

I would like my verification letter:

⁭

Mail it to my home address at _____________________________________

⁭

Pick up at HR office: 801 Masschusetts Ave. Boston, MA 02118

04/08

Employment Verification Request