Verification Of Employment Request Form printable pdf download

Verification Of Employment Request Form

VERIFICATION OF EMPLOYMENT REQUEST

Please type or print only:

Last Name _______________________________ First Name ____________________________

Social Security # __________________________ Employee ID # _________________________

Please provide _________________________________ with a verification letter containing the

(Name of organization or entity)

following information:

• Name

• ID #

• Address

• Hire Date

• Position

• Pay/Hourly Rate

• Annual Salary

• YTD Earnings

• Work Schedule

• Prior Two Years

• Average Hours

• Percentage of Last

Earnings

Per Week

Increase

• Date Of Last Increase

• Summary Of Last Two Pay Checks

I hereby authorize Conroe Independent School District to release the requested employment

information.

I am aware that three (3) work days are required to complete the verification letter.

Signature ________________________________________ Date _____________________________

Select one of the following:

Fax the verification letter to ____________________________ Fax # ____________________________

(Recipient’s name)

Mail to ______________________________________________________________________________

(Street, City, State, Zip Code)

Hold for pick up. My contact phone number is _______________________________________________

Verification Of Employment Request Form