AUTHORIZATION OF RELEASE EMPLOYMENT INFORMATION

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Date To

…….

To

……

Dear

…………………….
I hereby authorize and request you to send the information ticket below to:

……………. the following party : ………………….. any third party.

The information to be released includes: (tick)

– Salary

– Position/department/section
– Date employment commenced
– Part-time/full-time or hours worked
– Garnishee orders or wage attachments, if any reason for redundancy – Medical/accident/illness reports
– Work performance rating
– Other:———————————-

Yours sincerely,

Employee signature                                 Print Name

…………………………..                                 ………………………..

Address                                                     Position or Title

…………………………..                                  ……………………….

……………………………                                  Department

……………………………                                 ………………………..

 

 

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