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Employment and Salary Verification Form

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Employment and Salary Verification Form

To Whom it May Concern:

We are in the process of verifying information provided by , who is applying for an apartment in our building. To complete the application process, we must verify the employment/income information that was provided by on his or her application. Information contained on this form will be used in accordance with the Fair Credit Reporting Act. has provided his or her consent for you to provide the requested information, as verified by his or her signature below.

APPLICANT INFORMATION
To be completed and signed by the applicant

ADD BORDER
Last Name:	First Name:	Middle Name:	Social Security Number:

___________________________	______________________	_____________________	________ - _______ - __________

Current Address:	City:	State:	ZIP Code:

___________________________	______________________	_____________________	_____________________________

CONSENT

I hereby authorize my employer to provide employment and compensation information to the landlord or landlord's agent. I hold both the landlord and my employer harmless for any claims against them for filling out, commenting on, or discussing this form and its subject matter.

Tenant Signature: ________________________________ Date: ________________

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EMPLOYMENT INFORMATION
To be completed and signed by the applicant's employer (supervisor or HR)

ADD BORDER
Employer Name:	Telephone No.:

_________________________________________	____________________________
Employer Address:	City:	State:	ZIP Code:

____________________________________	____________________________	__________	________________________

Which of the following best describe the employment status of the applicant?


[ ] Current employee [ ] Former employee [ ] Never an employee	[ ] Full-time employee [ ] Part-time employee [ ] Temporary employee
	Avg. Number of Weekly Hours Worked:_____________
Date of Hire (mm/yyyy):	Job Title:

______________________________________	___________________________


Salary: $______________	[ ] Hourly [ ] Weekly [ ] Bi-weekly	Bonus/Commission? [ ] Yes $______________ [ ] No
Your Name:	Your Title:	Your Telephone No.:

____________________________________	_____________________________	_______________________________

Signature: ________________________________ Date: _________________

Thank you in advance for your assistance in this matter. Please email the completed document to me at .


																									Sincerely,
																									_______________________________

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