Homepage Free Employment verification form PDF Form

Preview - Employment verification form Form

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)

Similar forms

  • W-2 Form: This document summarizes an employee's annual wages and the taxes withheld. It serves as proof of employment and income, similar to the Employment Verification Form.
  • Pay Stubs: Pay stubs provide detailed information about an employee's earnings for a specific pay period. Like the Employment Verification Form, they confirm employment status and income.
  • Offer Letter: An offer letter outlines the terms of employment, including job title, salary, and start date. It serves as an initial verification of employment, akin to the Employment Verification Form.
  • Employment Contract: This legal document details the terms and conditions of employment. It provides verification of employment status, similar to the Employment Verification Form.
  • Reference Letter: A reference letter from a previous employer can confirm an individual's employment history and skills, paralleling the purpose of the Employment Verification Form.
  • Social Security Administration (SSA) Earnings Statement: This document shows an individual's earnings history, serving as a record of employment, much like the Employment Verification Form.
  • Background Check Report: A background check report may include employment history verification. It serves a similar function in confirming employment status as the Employment Verification Form.
  • Tax Returns: Personal tax returns can provide evidence of income and employment. They can be used to verify employment status, aligning with the Employment Verification Form.