Alabama A&M University Request for Employment Verification Form
Office of Human Resources June 2015
REQUEST FOR EMPLOYMENT VERIFICATION
(Please allow 2-3 business days for the completion of your verification request.)
Name:___________________________________________ Date:
First Middle Last
Previous Name (if applicable):
A-Number: _______________________________
Are you a current employee? [ ] Yes [ ] No
The Office of Human Resources will only verify the following: (Please check all that apply).
[ ] Employment Dates
[ ] Position Title
[ ] Current or
[ ] All
[ ] Income
[ ] Hourly
[ ] Monthly
[ ] Annual
[ ] Year-to-date Balance
Please indicate to whom the verification must be addressed:
Name:
Address:
[ ] To have this information mailed to you, please provide your address including
city/state/zip.
Address:
City/State/Zip:
[ ] To pick up this information in the AAMU Office of Human Resources at 4101 Meridian
Street Huntsville, Alabama, then please provide your contact number (including area code).
You will be contacted when your verification is available.
Telephone number: ( )
Signature (mandatory):
Alabama Agricultural and Mechanical University
Office of Human Resources
Mailing Address: Human Resources, Alabama A&M University, Normal, AL 35762
Phone: 256.372.5835 Fax: 256.372.5881