This is a letter and an attached form that authorizes an employer to release employee
information to a potential landlord. The form provides that the employee releases all
claims against the landlord and the employer related to the exchange of information and
requests the employer to provide financial information about the employee's
employment. It further states that the landlord will hold the information in confidence.
This document should be used by a prospective tenant when required by a landlord to
provide employment verification.
___________ [Instruction: Insert Name of Rental Company]
___________ [Instruction: Insert Address 1]
___________ [Instruction: Insert Address 2]
___________ [Instruction: Insert Date]
___________ [Instruction: Insert Name of Employer]
___________ [Instruction: Insert Address 1]
___________ [Instruction: Insert Address 2]
RE: ___________ [Instruction: Insert Name of Employee] – Rental Application
Dear Employer:
___________ [Instruction: Insert Name of Employee] (the “Prospective Tenant”), a
prospective tenant at our rental property, has listed your organization as [Instruction: Choose
One: his///her] current employer on [Instruction: Choose One: his///her] rental application.
The Prospective Tenant has provided written authorization for your organization to provide us
with the information requested in the enclosed Employment Verification Form, which
authorization you will notice on the form.
In order to verify the Proposed Tenant’s application, we ask that you return a completed
and signed copy of the enclosed Employment Verification Form at your earliest possible
convenience. The information provided will be held in confidence and will be used solely for
the purposes of determining the Prospective Tenant’s eligibility for occupancy at our rental
property.
Thank you in advance for your cooperation.
Best regards,
________________________________
[Instruction: sign]
___________ [Instruction: Insert Name of
Signatory]
Enclosure
EMPLOYMENT VERIFICATION FORM
To Be Completed By Prospective Tenant
I have applied for occupancy at a property owned and/or managed by ___________
[Instruction: Insert Name of Rental Company] (“Company”). In order to verify my current
employment, I hereby authorize ___________ [Instruction: Insert Name of Employer]
(“Employer”) to release the requested information to Company. I hereby agree to hold Company
and Employer, and Company’s and Employer’s respective officers, employees, or related
personnel, harmless from any and all liability for claims, liabilities, causes of action, damages,
judgments, attorneys’ fees, court costs, and expenses or damages of whatever kind, related to the
exchange of such information and any other reasonable and necessary information disclosed to
Company during this verification.
Signature: ________________________________
Name: ___________________________________
---------------------------------------------------------------------------------------------------------------------
To Be Completed By Employer
Applicant Job Title: _____________________________________________
Duration of Employment: ________________________________________
Gross Annual Salary: ____________________________________________
Expected Annual Overtime/Bonus Income: __________________________
Expected Bonuses: ______________________________________________
Any Other Relevant Comments About Applicant: _____________________
______________________________________________________________
Information provided in strict confidence by:
Signature: ________________________________
Name: ___________________________________
Title: ____________________________________
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