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Employment Verification Request

Please complete the form below. Required fields marked with an asterisk *

PERSONAL INFORMATION

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Employee ID Number*

Answer required for "Employee ID Number"

Email Address*

Answer required for "Email Address"

Everett Public Schools Location*

Answer required for "Everett Public Schools Location"

Start Date (Approximate)*

Answer required for "Start Date (Approximate)"

End Date (If Applicable)

Answer required for "End Date (If Applicable)"

RECEIVER'S INFORMATION

Company/Organization*

Answer required for "Company/Organization"

First and Last Name*

Answer required for "First and Last Name"

Email Address*

Answer required for "Email Address"

Attach Forms/Documents

Answer required for "Attach Forms/Documents"

Choose a file or drag it here.

Additional Information

Answer required for "Additional Information"

FOR INTERNAL USE ONLY

EPS HR Department

Answer required for "FOR INTERNAL USE ONLY"

Confirmation Email

Answer required for "Confirmation Email"