Fill and Sign the Employment Reference 497334456 Form

Employment Reference Release I acknowledge that I have been informed that it is { Business Name } general policy to disclose in response to a prospective employer's request only the following information about current or former employees: (1) the dates of employment, (2) descriptions of the jobs performed, and (3) salary or wage rates. By signing this release, I am voluntarily requesting that { Business Name } depart from this general policy in responding to reference requests from any prospective employer that may be considering me for employment. I authorize { Business Name } to disclose to such prospective employers any employment-related information that { Business Name }, in its sole discretion and judgment, may determine is appropriate to disclose, including any personal comments, evaluations, or assessments that { Business Name } may have about my performance or behavior as an employee. In exchange for { Business Name }’s agreement to depart from its general policy and to disclose additional employment-related information pursuant to my request, I agree to release and discharge { Business Name } and { Business Name } successors, employees, officers, and directors for all claims, liabilities, and causes of action, known or unknown, fixed or contingent, that arise from or that are in any manner connected to { Business Name } disclosure of employment-related information to prospective employers. This release includes, but is not limited to, claims of defamation, libel, slander, negligence, or interference with contract or profession. I acknowledge that I have carefully read and fully understand the provisions of this release. I further acknowledge that I was given the opportunity to consult with an attorney or any other individual of my choosing before signing this release and that I have decided to sign this release voluntarily and without coercion or duress by any person. This release sets forth the entire agreement between { Business Name } and me, and I acknowledge that I have not relied upon any representation or statement, written or oral, not set forth in this document. Signed: ________________________________________ Date: __________ (Employee)