EMPLOYMENT VERIFICATION

EMPLOYMENT VERIFICATIONRequest Form
A $20 processing fee is required to complete all nongovernmental employment verifications.
Please complete the information below and pay the fee using the payment button in this form.
Government entities - no fee required.
Contact Human Resources at HR@trutemps.com | P.O. Box 291450, El Paso, Texas 79929
EMPLOYEE INFORMATION - APPLICANT INFO
Employee Name

First NameLast Name
LAST 4 OF SSN
DATE OF BIRTH

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
PERSON / ORGANIZATION REQUESTING EMPLOYEE VERIFICATION
Requester Name

First NameLast Name
JOB TITLE
ORGANIZATION NAME
PHONE
Format: (000) 000-0000.
EMAIL
example@example.com
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How would you like the information submitted?
PROCESSING FEE PAYMENT Required for all nongovernmental verification requests AMOUNT DUE: $20.00
Pay the $20.00 processing fee online.
Use the secure payment below to complete the transaction by credit or debit card.
Payment must be completed before this request is submitted.
SIGNATURE OF REPRESENTATIVE REQUESTING EMPLOYEE VERIFICATION
DATE

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
TruTEMPS Staffing Group reserves the right to withhold any information regarding an employee's work performance or other personal details. Information contained in the completed verification will be limited to first check date, last check date, state where employed, and confirmation of last wage.

My Products

Processing Fee

Employment Verification

$20.00 Quantity

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

EMPLOYMENT VERIFICATIONRequest Form

EMPLOYEE INFORMATION - APPLICANT INFO

PERSON / ORGANIZATION REQUESTING EMPLOYEE VERIFICATION

PROCESSING FEE PAYMENT Required for all nongovernmental verification requests AMOUNT DUE: $20.00

My Products*

My Products