Request For Employment Reference {HR-733}

REQUEST FOR EMPLOYMENT REFERENCE Date: To: From: has applied to us seeking a position as , and names your company as a prior employer. We are requesting a reference on the above applicant including the dates during which the applicant was employed by you, the date upon which the individual left your employment, a rating of his performance, and the reason the individual left your employ. Enclosed is a consent form executed by the above applicant. Signature American LegalNet, Inc. 251 www.FormsWorkFlow.com