Consent to Release Personnel Information

Consent to Release Personnel Information

A form on which employees can check boxes indicating their consent to release certain personnel information, including salary and reason for leaving, to outside parties.

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Description

I hereby authorize the release of confidential information held by my former employer as indicated in checkboxes below.

___Employment dates

___Salary
___Position
___Duties
___Hours worked
___Reason for leaving

________________________________________________

Date                         Employee

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