Appendix 1 To:
Employment Verification Template From:
In the event of query contact: Telephone:
Date Employment confirmation Thank you for taking the time to complete this form. We need some information about the person named below for contract management purposes. Your employee has given us written permission for us to obtain this information. A copy of this permission is available. Employee Details First name Last Name National Insurance No.: Would you please complete sections 1 to 7 below as appropriate and the Certification 1 2 3 Company name (if different from above) Employee’s job title This is a new job or a return to an existing job; – please complete parts 4, 5 and 7 an increase of more than 8 hours a week to an existing job; – please complete parts 4, 5, 6 and 7 an increase for an existing job to more than 16 hours a week; – please complete parts 4, 5, 6 and 7 4 5 Date the job started or returned to existing job or increase in hours occurred On the date this job started/recommenced, or an increase in hours occurred, did you expect the job to last at least 13 weeks? (Please tick appropriate box. This does not commit you to the employee) Yes No 6 7 If there has been a change in hours, What was the usual weekly number of hours previously worked? How many hours each week is the employee now working?
Hours per wk Hours per wk
Certification Your name
(please print)
Position in company Date
Signature Please impress your company or organisation stamp in the box on the right, and return this form to the address at the top using the prepaid envelope. If you do not have a company stamp please attach a signed compliments slip, business card or letterhead. Thank you for your assistance.
Telephone No.