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Georgia Employment Verification Form

This Employment Verification Form is designed to comply with relevant Georgia laws regarding employment verification. Please fill in the necessary information accurately.

Employee Information:

  • Employee Name: ___________________________
  • Employee Address: ________________________
  • Employee Phone Number: __________________
  • Employee Email: _________________________
  • Job Title: _______________________________
  • Department: ______________________________
  • Date of Hire: ____________________________
  • Date of Termination (if applicable): ________

Employer Information:

  • Company Name: __________________________
  • Company Address: ________________________
  • Company Phone Number: __________________
  • Company Email: _________________________
  • Authorized Representative Name: _________
  • Authorized Representative Title: __________

Verification Details:

  1. Position Held: ____________________________
  2. Employment Status (e.g., active, terminated): ___________
  3. Salary/Wage: ______________________________
  4. Hours Worked Per Week: ___________________
  5. Additional Comments: ______________________

Please return this completed form to the requesting party or retain it in accordance with company policy.

This form serves as evidence of employment and may be required for various purposes, including loan applications or background checks.

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