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EMPLOYMENT VERIFICATION

THIS SECTION TO BE COMPLETED BY MANAGEMENT AND EXECUTED BY TENANT

TO:

(Name & address of employer)

Date:

 

 

 

 

 

 

 

 

 

RE:

Applicant/Tenant Name

 

Social Security Number

 

Unit # (if assigned)

I hereby authorize release of my employment information.

Signature of Applicant/Tenant

 

Date

The individual named directly above is an applicant/tenant of a housing program that requires verification of income. The information provided will remain confidential to satisfaction of that stated purpose only. Your prompt response is crucial and greatly appreciated.

______________________________________

Project Owner/Management Agent

Return Form To:

THIS SECTION TO BE COMPLETED BY EMPLOYER

Employee Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job Title:

 

 

 

 

 

 

 

 

Presently Employed:

Yes

 

 

 

Date First Employed

 

 

 

 

 

No

 

Last Day of Employment

 

Current Wages/Salary: $

 

 

 

 

 

 

 

 

(check one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

□ hourly

□ weekly

bi-weekly

semi-monthly

□ monthly

□ yearly

□ other

Average # of regular hours per week:

 

 

 

Year-to-date earnings: $______________ from: ____/____/______ through: ____/____/______

Overtime Rate: $

 

 

 

 

 

per hour

 

 

 

 

 

Average # of overtime hours per week:

 

 

Shift Differential Rate: $

 

 

 

 

 

per hour

Average # of shift differential hours per week:

 

 

Commissions, bonuses, tips, other: $

 

 

 

 

(check one)

 

 

 

 

 

 

 

 

 

 

 

□ hourly

□ weekly

bi-weekly

semi-monthly

□ monthly

□ yearly

□ other_________________________________

List any anticipated change in the employee's rate of pay within the next 12 months:

 

 

 

 

; Effective date:

 

If the employee's work is seasonal or sporadic, please indicate the layoff period(s):

Additional remarks:

Employer's Signature

 

Employer's Printed Name

 

Date

 

 

 

 

 

 

 

 

 

Employer [Company] Name and Address

 

 

 

 

 

 

 

 

 

Phone #

 

Fax #

 

E-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentations to any Department or Agency of the United States as to any matter within its jurisdiction.

Employment Verification (March 2009)

Document Information

Fact Name Description
Purpose The Employment Verification Form is used to confirm an individual's employment status, job title, and duration of employment with a company.
Common Uses Employers often use this form for background checks, loan applications, and rental agreements to verify income and employment history.
Information Required Typically, the form requires the employee's name, position, dates of employment, and sometimes salary information.
State-Specific Forms Some states have specific requirements for employment verification. For example, California requires compliance with the California Labor Code.
Legal Considerations Employers must ensure they comply with privacy laws when sharing employment verification information to protect employee confidentiality.
Signature Requirement Most employment verification forms require a signature from the employee, granting permission for the employer to release their employment information.

Employment verification form - Usage Guidelines

Filling out the Employment Verification Form is a straightforward process. After completing the form, you will submit it to the relevant party for processing. Ensure all information is accurate to avoid delays.

  1. Begin with your personal information. Enter your full name, address, and contact details in the designated fields.
  2. Next, provide your employment details. Include your job title, the name of your employer, and the dates of your employment.
  3. Fill in your supervisor's name and contact information. This is typically required for verification purposes.
  4. Indicate your employment status. Mark whether you are currently employed or if you have left the position.
  5. Complete any additional sections that may ask for specific information, such as salary or job responsibilities.
  6. Review all the information you have entered. Ensure there are no errors or missing fields.
  7. Sign and date the form where indicated. This confirms that the information provided is accurate.
  8. Submit the form according to the instructions provided, whether electronically or by mail.

Dos and Don'ts

When filling out an Employment Verification Form, it's important to approach the task with care. Here’s a list of things you should and shouldn’t do to ensure the process goes smoothly.

  • Do provide accurate information. Double-check all details, including your job title, dates of employment, and salary.
  • Do read the instructions carefully. Each form may have specific requirements that need to be followed closely.
  • Do keep your tone professional. Use clear and respectful language throughout the form.
  • Do include your contact information. This allows the verifier to reach you if they have any questions.
  • Don't omit important details. Failing to include necessary information can delay the verification process.
  • Don't provide false information. Misrepresentation can lead to serious consequences, including job loss.
  • Don't forget to proofread. Spelling or grammatical errors can create a negative impression.
  • Don't rush the process. Take your time to ensure everything is filled out correctly.

Common mistakes

  1. Not providing complete information: Many individuals forget to fill in all required fields. Missing details can delay the verification process.

  2. Using incorrect dates: Entering wrong employment dates can lead to confusion. Always double-check the start and end dates of employment.

  3. Failing to sign the form: Some people neglect to sign the form. Without a signature, the document may be considered invalid.

  4. Providing inaccurate job titles: Listing an incorrect job title can mislead the verifier. Ensure that the title matches what was officially assigned.

  5. Not including the employer's contact information: Omitting the employer's phone number or email can hinder the verification process. Always provide accurate contact details.

  6. Ignoring instructions: Each form may have specific instructions. Failing to follow these can result in errors or rejections.

  7. Submitting the form late: Delays in submission can affect job applications or loan approvals. Make sure to send the form promptly.