Rental Management Form (Page 3 of 4) in pdf

Rental Management Form Page 3

EMPLOYMENT VERIFICATION

TO BE FILLED OUT BY THE EMPLOYER

Date ______________

Employee Name __________________________________________________

Employee Address ________________________________________________

________________________________________________

Gross Earnings:

Current average number of hours per workweek: Straight time:_____________

Overtime:_____________

Current base pay rate $__________per _______ Effective Date:___________

Expected change in rate of pay $____________

New Rate:__________

Overtime base pay rate $_________

Amount of bonus, incentive pay, commission, and/or tips $________per ______

If seasonal or sporadic employment, give lay-off period:___________________

Amount deducted for medical/hospital insurance: $___________per _________

week/month

Original or Rehire Date

Termination

Employee’s Title

__________________

_________

_____________

Firm or Employer Name ____________________________________________

Signature of Authorized Representative ________________________________

Official Position of Person Completing this Form:_________________________

Date: _________________

Employer’s Telephone Number:___________________

PLEASE RETURN TO THE EMPLOYEE OR MAIL WITH APPLICATION !!!

Rental Management Form Page 3