Work Verification Form
The work verification form is used by temporary or day workers. They are contracted to work on a single day. They are issued by a third party client who does so at the end of the contracted work day to the temporary or day worker. It has to be approved by the department in question and contains the name of the temporary worker. Work location, date and hours clocked on that particular day.
Sample Work Verification Form
Third Party Client’s name: David Engineering Corporation
2645 Illinois Street
Chicago, IL 87986
Last Name: _________________________ First Name: _____________________________
Name of Day or Temporary Laborer: __________________________________________
Work Location: ___________________________________________________________
Destination Company Name: ________________________________________________
Address Line 1: ___________________________________________________________
Address Line 2: ___________________________________________________________
City: ____________________________________________________________________
State: ___________________________________________________________________
Zip Code: ________________________________________________________________
Hours worked: ____________________________________________________________
Signature of Company Representative: ________________________Date: ____________
Category: Verification Forms
