HR Attestation Letter

HR ATTESTATION LETTER

Attestation Date:

Personal Information

Position Information

Proposed Start Date:    Salary / Rate:

Employment History (Most Recent Two Employers)

Employer 1

From:    To:

Employer 2

From:    To:

Education

References (Professional)

Reference 1

Reference 2

Reference 3

Legal Disclosures and Notices

At-Will Employment: I understand that, unless otherwise expressly provided in a written agreement signed by an authorized representative of the employer, my employment will be at-will and may be terminated by me or the employer at any time, with or without cause or prior notice.

Equal Opportunity: The employer is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, sex, national origin, disability, age, or other protected categories as defined by applicable law.

Attestations (Check each to attest)

  I certify that I am legally authorized to work in the United States and will provide documentation as required to verify identity and work authorization.

  I certify that all information provided in this attestation and accompanying application materials is true, complete, and correct to the best of my knowledge.

  I have no existing agreements or obligations (including non-compete or confidentiality agreements) that would preclude my performance of the duties of the position sought, except as disclosed in the Additional Disclosures below.

  I have been convicted of a felony or criminal offense relevant to this position within the last seven years. (If checked, provide details in Additional Disclosures.)

Authorization and Certification

By signing this attestation I authorize the employer and its authorized representatives to verify any information provided, including contacting prior employers, educational institutions, and references. I expressly authorize such parties to release employment, education, and other relevant records to the employer for the purpose of evaluating my application and ongoing employment eligibility.

I further acknowledge and understand that any willful misrepresentation, omission, or falsification of information may be grounds for refusal of employment or, if employed, disciplinary action up to and including termination. I understand that the employer will treat information collected in accordance with applicable privacy and employment laws.

Applicant Certification: I certify under penalty of law that the statements contained in this HR Attestation Letter are true and complete. I understand that this document becomes a part of my personnel file if I am hired.

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