Below is the  Reference Request And Releasetemplate body. If necessary, please put the personal information, company information, such as text to replace the specific content you need. you can download the .doc template file on the end of the article by click download link. 

EMPLOYEE REFERENCE REQUEST RELEASE



I, [EMPLOYEE], hereby authorize [FORMER EMPLOYER] to release any and all references and records related to my past employment and work history to [PROSPECTIVE EMPLOYER]. I release and forever discharge the above named former employer and prospective employer of any and all claims related to this Employee Reference Request Release and any related exchange of records or other communications related to my past employment.

                          
Date               Social Security Number


                          
Signature             Printed Name 

Please answer the following questions as thoroughly as possible regarding the above named individual and their employment with your company.  Thank you for your assistance.

Start Date

End Date

Final Position/Title


Final Salary

Time in Final Pay Grade

Your Relationship to Employee


Position Summary:



Essential Job Functions:





Reason(s) for Leaving:





Is this Individual Eligible for Rehire?  ( Yes  ( No        If no, please explain:





Please Describe this Individuals Most Valuable Attributes:





What Is Your Opinion of this Individuals Ability to Add Value to Our Company?





Signature

Date

Printed Name:

Title:




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