Employment Verification Letter Request Form printable pdf download

Employment Verification Letter Request Form

REQUEST FOR VERICATION OF EMPLOYMENT LETTER:

(PLEASE ALLOW 7 BUSINESS DAYS FOR COMPLETION OF THIS REQUEST)

To Whom It May Concern:

I am requesting a Verification of Employment Letter. I would like the following information contained

in the letter (circle selections):

1. My name

2. The last 4 digits of my Social Security Number

3. My Job Title

4. The Department where I worked

5. My hire date

6. Show that I am currently working or my end date

7. My annual Salary

Please provide a mailing address where the letter should be sent. If you prefer to pick the letter up,

provide us with either your email address or phone number & we will contact you when it is ready.

(Photo ID is required for pick up.)

Your Name (Print): _____________________________________________________________________

Social Security Number: xxx-xx-_________

Your Signature: ___________________________________________________________________

Date: ______________________________

PLEASE FAX THIS COMPLETED FORM TO THE PAYROLL DEPARTMENT AT 412-624-8072.

IF YOU HAVE ANY QUESTIONS, PLEASE CALL PAYROLL AT 412-624-8070

THANK YOU

Employment Verification Letter Request Form