Authorization For Wage And Salary Information

AUTHORIZATION FOR WAGE AND SALARY INFORMATION. This is a written consent form used to authorize an employer or former employer to release information regarding an individual’s wages or salary. By signing this document, the individual permits the recipient to furnish records related to earnings during the period of employment, including wage and salary information requested by a third party. The form references disclosure in accordance with the Georgia Motor Vehicle Accident Reparations Act, making it commonly used in connection with insurance claims, personal injury matters, or other proceedings where proof of income or lost wages is required. The authorization includes the individual’s signature, date, and Social Security number to verify identity and confirm consent. www.FormsWorkflow.com