Employment WVOE Request

EMPLOYMENT WVOE REQUEST

Purpose: This Written Verification of Employment (WVOE) Request authorizes the release of employment information required for credit underwriting, tenancy approval, or other bona fide verification purposes. Employer: please complete the Employer Verification section in full and return to the requesting party. Applicant: complete the Applicant Information and Certification sections and sign at the end to authorize release of your employment information.

Requesting Party

Applicant (Employee) Information

Applicant Name:   Date of Birth:

Phone:   Email:   Last 4 of SSN:

Position Information (as reported by Employer)

Job Title:   Department:

Supervisor / Reporting Manager:

Hire Date:   Current Status: Full-time Part-time Exempt Non-exempt

Base Compensation:   Pay Frequency:   Average Hours/Week:

Is employment ongoing?   Yes   No   If terminated, Termination Date:

Employer Verification (For Employer Use Only)

Please verify the following and complete the fields below. The information provided will be relied upon by the requesting party. False statements may subject the verifier to penalties under applicable law.

Verified Job Title:

Verified Base Pay:   Pay Frequency Verified:

Eligible for Rehire?   Yes   No   Unknown

Employment History (Applicant Provided)

Title:   From:   To:

Title:   From:   To:

Education

Graduation Date:

References (Professional)

Phone:   Email:   Relationship:

Phone:   Email:   Relationship:

Phone:   Email:   Relationship:

Legal Disclosures

At-Will Employment Statement: Submission of this request and any resulting verification does not alter the at-will employment relationship between the employer and employee unless a separate written agreement expressly states otherwise.

Equal Opportunity Statement: Employer policies regarding nondiscrimination and equal employment opportunity are to be applied in the verification process. The employer should not disclose information prohibited by law.

Applicant Certification and Authorization

I hereby authorize the employer named above to release my employment information, including dates of employment, job title, compensation, and rehire eligibility, to the requesting party named in this form. I certify that the information I have provided on this form is true and complete to the best of my knowledge. I understand that knowingly providing false information may constitute fraud and may be grounds for denial of credit, tenancy, or other adverse action.

I further authorize the requesting party to contact prior employers and references listed herein and to obtain customary background checks where permitted by law. I understand that the employer may require a reasonable period to locate and verify records and that the employer's response is binding only to the extent of its factual knowledge and available records.

Applicant Authorization:   I authorize the release of employment information.    I authorize background checks as permitted by law.

Agreement and Applicant Signature

By signing below I certify the truthfulness and completeness of the information I have provided, and I authorize the employer to release the requested verification to the requesting party. I acknowledge that this authorization will remain valid for 90 days from the date of my signature unless I revoke it in writing.

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