Fillable Printable Request for Employment Verification Letter

Request for Employment Verification Letter

Form 203

V20110822

Please return completed form to the Human Resources Department.

6720-A Rockledge Drive · Suite 100 · Bethesda, Maryland 20817 · Telephone: (240) 694-4008 · Fax: (240) 694-3145 · www.hjf.org

REQUEST FOR EMPLOYMENT VERIFICATION LETTER

NAME

DATE

I would like to request the following information to be included in a letter verifying my

employment:

Please check: dates of employment

position title

salary/hourly rate

position location

year-to-date earnings

previous year earnings

Other:

REASON FOR REQUEST

DATE NEEDED

ADDRESS LETTER TO: FORWARD LETTER TO:

I hereby authorize the Henry M. Jackson Foundation to forward this employment verification

letter to the above stated address.

SIGNATURE