Employment Verification Request Form

Please use this secure form to submit an Employment Verification Request. All fields with a red asterisk are required for submission. After submission, your request will be added to our queue and a team member will contact you with any follow-up question.

What type of verification is being requested?*

Please select all that are applicable.

Select or enter value

If other, please list (type)

What entity type is making this request?*

Select or enter value

What date is this request needed?*

Submitter's First Name*

Submitter's Last Name*

E-mail*

Preferred Contact Method*

Phone

Phone & Email

Phone Number

Preferred time of day for contact

Select or enter value

Requested Employee Information

Requested Employee's First Name*

Requested Employee's Last Name*

Requested Employee's Birthdate

Requested Employee's GTID or Employee ID (if available)

Date Hired at Georgia Tech

Is this person currently employed by Georgia Tech?*

Yes

Unsure

Termination Date at Georgia Tech

Notes/Special Requests

If you need a specific form completed, upload it here

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