This form gives third parties express instructions to an employer or human resources to release a personal salary scheme to a third party.
In most instances, it is used internally in an organization to lodge claims, e.g., of overtime hours worked, etc.
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Features:
Employee Information:
A section to record the employee’s name, Social Security number (optional, depending on employer policy and state laws), and also current address.
Employer Information:
A section to record the employer’s name, address, and also phone number.
Employment Dates:
A section to specify the employee’s start date and end date (if applicable) of employment.
Wage Information:
A section to specify the employee’s current hourly rate or salary, and pay frequency (e.g., weekly, bi-weekly, monthly).
Authorization:
A section for the employee to sign and also authorize the release of this information to the requesting party.
Employer Signature:
A designated space for the employer (or a representative authorized to release employee information) to sign and also verify the accuracy of the information provided.
Benefits:
Standardization:
The template ensures a consistent format for verifying an employee’s wage and also employment information.
Accuracy:
By having designated sections for specific details, the template helps reduce the risk of errors or missing information.
Efficiency:
Using a template streamlines the wage verification process for both the employer and the requesting party.
Security:
The form can help ensure that wage and employment information is only released with the employee’s authorization.