Kansas > Local District Court > 3rd Judicial District (Shawnee County) > Civil

Employment Records Authorization - Kansas

Employment Records Authorization Form. This is a Kansas form and can be used in Civil 3rd Judicial District (Shawnee County) Local District Court .
 Fillable pdf Last Modified 7/20/2005
Get this form for FREE as a print-only pdf

EMPLOYMENT RECORDS AUTHORIZATION TO: The undersigned hereby authorizes you to forward to the law firm of________________________________________________________________________ ______________________________________________________________________________ ______any and all records, reports, or other information, to include wage veri fication, which theyrequest, concerning my employment with you, at the latter=s request and expense. Theundersigned further states that photostatic copies of this authorization shall have the full force andeffect of the original. Dated this _________ day of ______________________, 20______. ___________________________________ SIGNATURE Social Security No. _____ - ____ - ______ Date of Birth ____/_____/_____STATE OF ______________________ ) ) ss: COUNTY OF ____________________ ) On this ______ day of ____________________, 20_____, before me, a Notary Public inand for the county and state aforesaid, appeared _______________________ ________,personally known to me to be the same person who executed the above inst rument and dulyacknowledged the execution of the same. IN WITNESS WHEREOF, I have hereunto set my hand and seal on the date las t abovewritten. ____________________________________ Notary PublicMy Appointment Expires: __________________________
Link/Embed this Document
URL
Embed


Popular Searches

  1. amendment to complaint
  2. information subpoena
  3. stipulation of discontinuance
  4. deposition subpoena
  5. durable power of attorney
  6. Form Interrogatories-General
  7. bill of costs
  8. Request for entry of default
  9. Preliminary Change of Ownership Report
  10. Decree of Dissolution of Marriage

Bookmark and Share