Employment (Income) Verification Letter

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

Street Address

Address Line 2

City

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

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 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

Print Name