Release Of Information (Employee) {HR-706}

EMPLOYEE AUTHORIZATION TO RELEASE REFERENCE INFORMATION I, [Name], hereby authorize [Company] to release the following job reference information to prospective employers. Any information desired by my prospective employer Salary history ? Starting: Final: Position held ? Starting: Final: Duties and responsibilities Achievements Reason for leaving Eligibility for rehire ? Yes: No: Other I have reviewed the above information and understand this is the data that will be released should my references be checked. Signature: Date: Name: Social Security #: American LegalNet, Inc. © www.FormsWorkFlow.com