Employment Verification and Compensation Release Authorization Form
Forward the completed form:
Fax #: 508-357-7220
OR
Mail: IBM -Employee Services Center
Attn: Employment Verification
5411 Page Road
Durham NC 27703
Name: ________________________________________
Serial #________________________ Contact #__________________________
I authorize IBM to release information relative to my employment with the IBM Corporation to ____________________________________________________
(Company Name or Person to release to)
I authorize the release of the following information (Please check one):
Standard: Date of employment, employment type, employment status and position (no salary).
Base monthly salary, date of employment, employment type, employment status and position and base monthly salary.
Current year to date compensation, date of employment, employment type, employment status, position and base monthly salary.
Current plus 1 year of compensation, date of employment, employment type, employment status, position and base monthly salary.
Current plus 2 years of compensation, date of employment, employment type, employment status, position and base monthly salary.
I wish to have this information sent by (enter the appropriate information below) :
Fax To: _______- _______- __________
Attention To: ___________________________
OR
Mailed to this address: _________________________________
_________________________________
_________________________________
Employee Signature ________________________________Date__________________
Note: Verification of employment is only available during normal ESC hours. Please allow 3 business days for a return verification letter or 5 – 7 business days for letters that are being requested to be mailed.