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Employment (Income) Verification Letter
Employment (Income) Verification Letter
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Who are you?
I am an
Employer
verifying an employee.
I am
Requesting Verification
of an employee.
Do you know the Employer's Name?
Yes
No
Employer's Name
Company / Organization
Manager / Supervisor
Manager or Supervisor
Individual's Name
Title (optional)
Employer's Contact
Employer's Phone Number
Employer's E-Mail
Employer's Address
Employer's Address
Street Address
Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
State
ZIP Code
Your Name (Requesting Party)
Individual or Company
Phone Number
E-Mail
Do you know WHO is requesting this verification?
Yes
No
Name of the employer, landlord, government office, etc.
Requestor's Name
Individual or Company
Requestor's Address
Your Mailing Address
Street Address
Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
State
ZIP Code
Name of Employee (Person being Verified)
Title or Role
Employee's Original Start Date
Employment Details
Does the Employee work Full or Part Time?
Full-Time
Part-Time
How Many Hours per Week?
Hours
The Employee gets paid
Select
Hourly
Daily
Weekly
Bi-weekly
Monthly
Quarterly
Annually (Salary)
Select the way the employee receives payment.
Enter Amount
$
/ Hour
Enter Amount
$
/ Daily
Enter Amount
$
/ Weekly
Enter Amount
$
/ Bi-weekly
Enter Amount
$
/ Monthly
Enter Amount
$
/ Quarterly
Enter Amount
$
/ Annually
Bonus
Does the Employee earn any type of Bonus?
Yes
No
Approximate Bonus Amount ($) on an Annual Period
$
per Year
Give an estimate of the Employee's Annual Bonus Amount (just an estimate does not need to be exact)
Signature
Employer's Signature
Clear
Please draw your signature.
Print Name
Save and finish later
Previous
Next
Save
Your Role
The Employer
Manager / Supervisor
Employer's Contact
Employer's Address
Requesting Party
Requestor's Address
The Employee
Date
Employment Details
Bonus
Signature