Free Employee Reference Request Form Template

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Free Employee Reference Request Form Template

Employee Reference Request Form

Complete this form to request a reference for a current or former employee.

Requestor Name

    Job Title

      Contact Number

        Relationship to Employee

          • Employer

          • Hiring Manager

          • HR Representative

          Employee Name

            Job Title

              Contact Number

                Type of Reference Requested

                Check all that apply.

                  • Employment Verification

                  • Performance Evaluation

                  • Character Reference

                  Purpose of the Reference Request

                    • New Job Application

                    • Loan/Mortgage Application

                    • Rental Agreement

                    Consent & Authorization

                    I confirm that I have received consent from the employee to request this reference. I understand that the reference provided will be based on the employee’s performance and company records.

                    Name:

                    Date:

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