Massachusetts Employment Verification Template
This document serves as a template for verifying employment in the state of Massachusetts, in compliance with the Massachusetts Fair Employment and Massachusetts Right to Know laws. It is designed to provide accurate employment information for the person described below.
Please complete all sections to the best of your knowledge. If a section does not apply, please mark it as N/A (Not Applicable).
Employer Information
- Company Name: ___________________________________________
- Company Address: _________________________________________
- City, State, Zip: _________________________________________
- Contact Person: __________________________________________
- Title: ___________________________________________________
- Phone Number: ___________________________________________
- Email Address: __________________________________________
Employee Information
- Employee Name: ___________________________________________
- Employee Job Title: ______________________________________
- Employee ID or Social Security Number (optional): ____________
- Type of Employment: ______________________________________
- Employment Start Date: ___________________________________
- Employment End Date (if applicable): ________________________
- Current Employment Status: _______________________________
Verification Request Details
- Reason for Request: ________________________________________
- Date of Request: __________________________________________
- Requested by: ____________________________________________
- Contact Information for Requestor (if different from above):
- Company/Organization Name: ______________________________
- Contact Person: _________________________________________
- Phone Number: ___________________________________________
- Email Address: __________________________________________
- Signature of Requestor: ____________________________________
- Date: ____________________________________________________
By signing this form, the requestor acknowledges they have a legitimate business need for this employment verification in accordance with Massachusetts state laws. The employer commits to providing accurate and timely information as allowed under the law.