Verification Employment Form
A verification employment form is normally used by lenders to help them review the borrower’s employment history. It is necessary to establish the job stability of the borrower as well as his/her cross reference income history. It usually includes the borrower’s employment in the past two years. Below is a sample verification employment form.
Sample Verification Employment Form
Employee Name _______________________
Job title ______________________________
Currently employed _____________________
Date first employed _____________________
Last day of employment ___________________
Current wage/salary $_____________________
Average number of regular hours per week __________________
Overtime rate per hour __________________________
Average number of overtime hours per week ______________
Shift differential rate $ ___________ per hour
Average number of shift differential hours per week __________
Commissions, bonuses, tips _______________________
Anticipated changes in employee’s pay rate within the next 12 months ________________________________________________________________________
________________________________________________________________________
Effective date ___________________________
Additional remarks ________________________________________________________
________________________________________________________________________
Employer’s Name ______________ Sign ________________ Date _________________
Category: HR Forms
