FAS Employment Verification

Employment Verification Request
Fred A. Smith Company

730 24th St, NW Washington, DC 20037
Applicant Name:*

First NameLast Name
Current Address:*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Employer:*
Employer's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer's Telephone:*

Area CodePhone Number
Employer's Email:*
example@example.com
If at current employer less than 6 months please fill out below:
Prior Employer:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name:
Telephone:

Area CodePhone Number
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:*

MonthDayYear
Date
*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:_________________________
Should be Empty:

Employment Verification Request