(VOE) Authorization Form
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 firstname.lastname@example.org.
Section 2 - Employee Information
(No P.O. Box)
(if different from
Section 3 - Request Type
Please select the items we should include in your Verification of Employment (VOE) request:
Date of Hire Title Company Department
How would you like to receive your letter
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
Section 5 - Comments
Section 6 - Authorization
Business Service Center
Last Revised: 07/25/2016 Creation Date: 04/01/2012