Skip survey header

Verification of Employment Request

I, would like to request a letter of verification.
3. Which company are you requesting a letter of verification from? *This question is required.
4. Pay history requested (date range):
6. Contents of letter (check all that apply): *This question is required.
8. Mailing Address: *This question is required.
8. Fax:
This question requires a valid email address.
9. This form will not be processed without your signature that we are able to match to your employment records. *This question is required.
Signature of
Please allow 2 to 3 business days from the date this document is sent to the corporate office for completion of this request.

Fax: 716-631-0045