Employment Verification Request Form printable pdf download

Employment Verification Request Form

Georgia Perimeter College

Human Resources Dept.

3251 Panthersville Road

Decatur, GA 30034

678-891-2500 Office

678-891-2511 Fax

Employment Verification Request Form

I ______________________________ as a  faculty employee  staff employee of Georgia Perimeter

College, do hereby authorize release verification of employment information pertaining to myself with the

following:

 Check all that applies

 Dates of Employment

 Title/Position

 Employment Status Full-Time or Part-Time

 Hourly or Monthly Salary

 Annual Salary

My signature below acknowledges that this agreement is voluntary.

Please indicate how you would like to receive your verification of employment once it’s

completed. Your request will be processed within 48 hours from today’s date.

 Pick up from Human Resources (must show valid ID)

 Fax:

_________________________________________

 Email: _________________________________________

 Mail to campus or home address:

__________________________________________________________________

Telephone Number: ________________________________________________

____________________________________________

_____________________________

Signature

Today’s Date

Submit to Human Resources

Employment Verification Request Form