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Employment Verification Request
Verification of employment for FIT only
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* Indicates required question
Date Requested
*
MM
/
DD
/
YYYY
Preferred Name
*
Your answer
@ Number
*
Your @ number can be found on your MYFIT Welcome Page. Log-in is required.
Your answer
Telephone Number
*
Your answer
FIT E-mail Address
*
Your answer
Release Information to
*
I authorize the Office of Human Resources to release information concerning my employment status as indicated below by the selected items to the following establishment:
Your answer
Employment Information to be included
*
If requesting more than one years salary, your request may be forwarded to the Payroll department.
Address
Date of CCE or Tenure
Dates of Employment
Employment Status
Salary
Social Security Number
Title
Other:
Required
Salary Representation
Hourly/Per Pay
Annually
Clear selection
Method of Delivery
*
Pick Up
E-mail
Mail
Other:
If you are requesting that your social security number be included in this verification, you will be required to come to OHR with your employee ID and pick up the completed form.
A Human Resources Representative will contact you when your verification is ready for pick up.
Please allow 2-3 business days for processing. Thank you.
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