EMPLOYMENT VERIFICATION OF EARNINGS INSTRUCTIONS
We require employment and wage information concerning the employee named on the Employer Verification of Earnings form. Please complete and return the form to the employee as soon as possible so that s/he can return it by the date indicated.
Review the Federal Employment Identification Number (FEIN) number listed on the form. If it is incorrect or missing please write correct number on the form, if known.
This form will be scanned. Please write clearly using blue or black ink.
Write additional comments in the comments section.
Although it is the employee’s responsibility to return this form to the local agency, in order to expedite this process, you may return this form to the address or fax number listed. If you do, please inform the employee that you have returned this form.