Ohio Employment Verification Template
This document serves to verify the employment status of the individual named below, in accordance with Ohio Revised Code § 4113.71, which pertains to employment verification standards.
Employee Information:
- Name: ________________________________
- Address: ________________________________
- City, State, Zip: ________________________________
- Date of Birth: ________________________________
Employment Details:
- Employer's Name: ________________________________
- Employer's Address: ________________________________
- City, State, Zip: ________________________________
- Job Title: ________________________________
- Employment Start Date: ________________________________
- Employment End Date (if applicable): ________________________________
Verification Statement:
By signing this document, I confirm that the above information is accurate and truthful to the best of my knowledge.
Signature of Employer/Authorized Representative:
_______________________________
Date: ________________________________
Contact Information for Verification:
- Phone: ________________________________
- Email: ________________________________
This verification can be provided to any prospective employer or agency requesting confirmation of employment.