Fillable Verification of Employment (VOE) Authorization Form

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Verification of Employment (VOE) Authorization Form

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The Verification of Employment (VOE) Authorization Form form is 1 page long and contains:

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  • 22 check-boxes
  • 30 other fields

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Verification
of
Employment
(VOE) Authorization Form
HR-HRIS-011
Section 1 - Information and Instructions
The purpose of this form is to provide authorization to the Business Service Center (BSC) to release information containing but not limited to salary
information, earnings history, job title, and years at level. Forms will not be accepted without a BSC ID. If you are unsure of your BSC ID,
navigate to www.mymta.info to obtain it.
Please fax a signed copy of the form to 212-852-8700 or email a copy to bscservice@m tabsc.org.
If you have any questions, please contact the BSC at 646-376-0123 or bscservice@mtabsc.org.
Section 2 - Employee Information
Print Name
Last First M.I. Suffix
BSC ID
Agency/Dept.
(check one)
BSC
B&T
CC
HQ
Department
SIR
LIRR
MNR
MTA Bus
Residential
(Required)
(No P.O. Box)
Street Address
City
State
Zip Code
Mailing
(if different from
Residential)
Street Address
City
State
Zip Code
Phone (H)
Phone (W)
Email
Job Title
Depot Location
Section 3 - Request Type
Please select the items we should include in your Verification of Employment (VOE) request:
Employment Verification
Date of Hire Title Company Department
Salary Verification
Hourly Salary
Annual Salary
Weekly Hours
How would you like to receive your letter
Email (See Above)
Mail (See Above)
Fax
Should be completed by (insert date)
Section 4 - Date Release Information
*If you would like your information to be released to all requestors, leave this section blank.
If you would like to specify who should be allowed to receive your information, please complete the following section.
Type of Requester Bank Individual Self Other
Please provide the name(s) of all banks/individuals followed by their address or Email or fax number.
Bank/Individual Address or Email or Fax Number
1.
2.
3.
Section 5 - Comments
Section 6 - Authorization
Employee Signature
SSN Last 4 Digits
Date
Business Service Center
Last Revised: 07/25/2016 Creation Date: 04/01/2012
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Verification of Employment (VOE) Authorization Form

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Completed 7 April 2021

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