Employment Verification Proof of Employment

EMPLOYMENT VERIFICATION / PROOF OF EMPLOYMENT

Employer Name:   Employer Address:

Employee Name:   Employee ID / Last 4 SSN:

Recitals

WHEREAS, Employer is a duly organized entity that employs the individual identified above and maintains employment records concerning position, compensation and dates of employment;

WHEREAS, Employee has requested a formal verification of employment and Employer is authorized to provide such verification in accordance with applicable law and Employer policy;

WHEREAS, this document sets forth the factual verification and the terms under which Employer certifies the employment information contained herein.

Verification of Employment

Position / Title:   Department:

Date of Hire:   Date of Termination (if applicable):

Employment Status: Full-Time Part-Time Seasonal Contractor

Exemption Classification: Exempt Non-Exempt

Compensation and Payment Terms

Base Salary or Hourly Rate:   Pay Frequency:

If amounts are subject to repayment or adjustment, late fee for unpaid employee obligations:

Scope of Work

Term and Termination

Employment Start Date:   Anticipated End Date (if fixed-term):

Notice Period for Termination:   At-Will Employment (if applicable): Employee is employed at-will

Confidentiality

Employer certifies that the information provided herein is limited to employment verification. Employee acknowledges that certain information relating to performance, compensation and proprietary matters may be protected by confidentiality obligations. Employer's disclosure of this verification does not waive any confidentiality rights except as expressly stated in writing.

Governing Law

This verification and any dispute arising from it shall be governed by the laws of the jurisdiction where Employer's principal place of business is located:

Entire Agreement

This document constitutes the complete verification of employment provided by Employer to the recipient named below and supersedes any prior oral or written statements regarding the matters verified herein, except to the extent separate written agreement states otherwise.

Verification Contact

Certification

The undersigned Employer representative certifies under penalty of perjury that the foregoing information is true and correct to the best of their knowledge as of the date signed below. Recipient of this verification may rely upon the information for lawful purposes consistent with Employer policy and applicable law.

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