Authorization to Release Employee Information Form

How to Write an Authorization to Release Employee Information?

An Authorization to Release Employee Information Form usually includes the following:

1. The employee should enter their full name and the legal name of their former employer.
2. The employee must authorize their former employer to release their job reference details to prospective employers. The employer gives the employee the right to choose if they wish to release general or limited information about their employment. Usually, it is required to authorize the release of the following general information: dates of employment, the position held, job responsibilities, quantity, and quality of the performance. Some employers can include there information about an employee's attendance, working relationships with supervisors and other workers, the reason for leaving, their abilities, and technical skills.
3. The employee may also forbid the authorization of their employment information. In this case, indicate that the employer has a right to release only limited information: the position held by the employee and the dates of their employment in this organization.
4. The employer can include in the form a statement that they reserve the right to provide information to prospective employers regarding whether any former employee has features or propensities that could make their employment in the particular position dangerous for other workers or present a security risk.
5. The employee has to certify that this Consent to Release Employee Information can be revoked by them at any time in writing, but will not be legitimate for the information that has already been released under it.
6. The employer must specify the period for which this authorization remains in effect. For example, it can be ninety (90) calendar days from the date of signature. The employer must indicate the department where the signed form should be submitted and retained.
7. The employee should print their name and enter their Employee identification number or Social Security Number, phone number, and email.
8. Enter the date of completion and sign the form.

Related Tags and Templates:

• Hiring Employees;
• Employee Performance;
• Reference Check Forms.