Government Entity Request Form

EMPLOYMENT VERIFICATIONGovernment Entity Request Form
THIS FORM IS FOR GOVERNMENT ENTITIES ONLY
Federal, state, county, municipal, and tribal agencies requesting verification for official purposes. No processing fee.
Not a government entity? Do not use this form.
Employers, lenders, landlords, property managers, background screening companies, and all other nongovernmental requesters must complete the Employment Verification Request Form (Form HR-EV-01) and pay the $20.00 processing fee.
Nongovernmental requests submitted on this form will not be processed.Questions: HR@trutemps.com
EMPLOYEE INFORMATION
EMPLOYEE NAME

First NameLast Name
LAST 4 OF SSN
DATE OF BIRTH

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
GOVERNMENT AGENCY / REPRESENTATIVE REQUESTING VERIFICATION
REPRESENTATIVE NAME

First NameLast Name
JOB TITLE
GOVERNMENT AGENCY NAME
DEPARTMENT / PROGRAM
OFFICIAL AGENCY EMAIL
example@example.com
PHONE
Format: (000) 000-0000.
FAX
Format: (000) 000-0000.
CASE / REFERENCE NO.
AGENCY ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency level:
REQUIRED: UPLOAD YOUR OFFICIAL REQUEST DOCUMENT Upload required before this request is submitted

Use the upload field in this online form to attach your agency's official request document (verification form or request letter). It is used to verify this request. Requests submitted without an official document cannot be processed.
TruTEMPS does not complete third-party employment verification forms. We will respond by returning this form with the TruTEMPS Employment Verification Response section below completed.
How would you like the completed response returned?
By signing below, I certify that I am an authorized representative of the government entity named above and that this request is made for official government purposes.
SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
DATE

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
TRUTEMPS EMPLOYMENT VERIFICATION RESPONSE
TruTEMPS Staffing Group does not complete third-party employment verification forms. In accordance with our company policy and applicable privacy requirements, we provide employment verification directly and limit disclosures to objective employment information only, regardless of any external authorization provided. We do not disclose information related to job performance, disciplinary history, or other personal details.
File Upload: verification form or request letter

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EMPLOYMENT VERIFICATIONGovernment Entity Request Form

EMPLOYEE INFORMATION

GOVERNMENT AGENCY / REPRESENTATIVE REQUESTING VERIFICATION

TRUTEMPS EMPLOYMENT VERIFICATION RESPONSE