Ibm Employment Verification – Fill Out and Use This PDF

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.