ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
2
EMPLOYEE VERIFICATION FORMhttp://bit.ly/2SPS9WJ
3
Please complete all of the sections provided on this form. If you need to omit information, leave the section blank or enter “N/A.”
4
COMPANY NAMEHIRE DATEFREQUENCY KEY
5
HOURLY
6
EMPLOYEE NAMEEND DATE if applicableWEEKLY
7
MONTHLY
8
JOB TITLE HELDANNUALLY
9
PAY RATEOTHER
10
ROLE AND RESPONSIBILITIESAMOUNTN / A
11
$ -
12
FREQUENCY
13
14
15
BONUS INFO
16
AMOUNT
17
18
FREQUENCY
19
20
ADDITIONAL COMMENTS
21
ELIGIBLE FOR REHIRE?
22
YES / NO
23
24
25
VERIFICATION REQUEST COMPLETED FORREQUESTOR PHONE
26
27
FORM COMPLETED BYDATE COMPLETED
28
29
CONTACT EMAILCONTACT PHONE
30
31
SIGNATUREDATE
32
33
34
CLICK HERE TO CREATE IN SMARTSHEET
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100