Sample Authorization to Release Employment Records Letter

Sub – [Employee name, records are being requested for]

Date of Birth:  –   […]
Social Security Number: [no. here]

 

To: [Designation]

[Company name]
I hereby give permission to [organization’s name] or their representative to examine, analyze, and create copies (including photo static copies) of all staff, job, medical and payroll records related to [employee name for whom, records are being requested].

 

The photo static copies will be considered as official as the original for this authorization.
Dated: _______________

_____________________________________
Employee signature

_____________________________________
Employee name (please print)

Download Sample Authorization to Release Employment Records Letter In Word Format

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