View the list of Sample Business Letters Job Applicant Employment Verification Form Disclaimer: Be aware that some of these sample letters have legal, financial, or other implications. If you are not sure about the use of any letter, consult with an appropriate professional first. Job Applicant Employment Verification Form Dear The person identified below is being considered for employment and has signed a statement authorizing this verification and investigation. We shall appreciate a statement of your opinions and experiences as outlined below. Your reply will be considered confidential. ___________________________________ Name of Applicant ___________________________________ Social Security Number ___________________________________ Dates of Claimed Employment ___________________________________ Position Last Held ___________________________________ Final Rate of Pay Is the above information correct? Yes______ No________ If not please make corrections. What is your opinion as to this person's Ability________________________Effort_________________________ Conduct________________________Attendance_____________________ Reason for leaving your employ________________________________ ______________________________________________________________ Eligible for rehire? Yes_____No_____If not, why?_____________ ______________________________________________________________ Your further comments on any personal or professional strength and weaknesses will be appreciated.___________________________ ______________________________________________________________ ______________________________________________________________ Date__________Signed_____________________Title________________