Employment Verification Template
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1Annex 4 - Employment Verification Template
To
From
Telephone
Date
Employment confirmation
Thank you for taking the time to complete this form. We need some information about the person
named below for contract monitoring purposes. Your employee has given written permission for
us to seek confirmation of their employment and a copy of this document is available should you
wish to see it.
Employee’s first name
Employee’s last name
Employee’s NI Number
Please complete parts1 to 5 below
1
Company name
(if different from above)
Employee’s job title
2
3
Date employee started work
4
Hours per week
5
Has the job sustained for:
13 weeks
Yes
No
26 weeks
Yes
No
Certification
Your name
Position in
company
(Please print)
Signature
Date
Telephone
Company/organisation stamp (
or attach a signed compliment slip)
Please return this form to us at the above address. Thank you
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QFW026 Jan 12 V2
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Parent category: Legal