FAS Employment Verification

Fred A. Smith Company

730 24th St, NW Washington, DC 20037

Applicant Name: *

First Name Last Name

Current Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Employer: *

Employer's Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Employer's Telephone: *

Area Code Phone Number

Employer's Fax:

Area Code Phone Number

Employer's Email: *

example@example.com

Notice: Read Carefully

The Fair Credit Reporting Act requires that no investigative report be made on any consumer unless he/she has given written approval that such a report may be or has been requested, and he/she is informed that he/she has the right to ask for disclosure of the type of information being sought. As part of our application procedure, Fred A. Smith Company may make inquiries that can provide pertinent information concerning applicant’s character, mode of living, and general tenantability. All information gathered as part of our tenant screening process is held in strict confidence.

I hereby give permission to Fred A. Smith Company to contact any credit bureau for credit information, as well as any reference listed on the application, including my past, current, or future employer, without further notice to the applicant.

Applicant's Signature *

Clear

Date: *

Date Date Picker Icon

*For Office Use Only*

We have received a rental application from the above named person, which we understand you employ. In addition to verifying the information requested below, please furnish us with any other information that might assist us in processing their application. Thank you.

Dates of Employment:

From:______________ To:______________

Position Held:___________________________

Hourly rate: $___________ Hours per Week:______________

Or

Anual Salary: $_____________ Monthly Salary: $______________

Person completing this form:_______________________________________

Signature:_______________________

Date:_________________________

Employment Verification Request