Work Verification Affidavit Layout
State of [STATE]
County of [COUNTY]
Affidavit of Employment
I, [AFFIANT’S FULL NAME], of legal age and residing at [AFFIANT’S ADDRESS], do hereby declare under oath as follows:
1. Affiant Information
Full Name: [AFFIANT’S FULL NAME]
Job Title: [AFFIANT’S JOB TITLE]
Employee ID (if applicable): [EMPLOYEE ID]
Employer Name: [YOUR COMPANY NAME]
2. Employer Details
Company: [YOUR COMPANY NAME]
Company Address: [YOUR COMPANY ADDRESS]
Contact Information: [YOUR COMPANY NUMBER] / [YOUR COMPANY EMAIL]
3. Employment Details
Position Held: [POSITION TITLE]
Date of Employment Start: [MM/DD/YYYY]
Date of Employment End (if applicable): [MM/DD/YYYY]
Employment Status: [FULL-TIME / PART-TIME / CONTRACTUAL]
Duties and Responsibilities:
4. Statement of Verification
I affirm that the above information regarding my employment with [YOUR COMPANY NAME] is accurate and truthful to the best of my knowledge.
5. Notary Acknowledgment
Signed this [DAY] day of [MONTH], [YEAR].
Affiant’s Signature: __________________________
[AFFIANT’S FULL NAME]
Notary Public
State of [STATE]
County of [COUNTY]
Subscribed and sworn to (or affirmed) before me this [DAY] day of [MONTH], [YEAR] by [AFFIANT’S FULL NAME].
Notary Public Signature: __________________________
Notary Public Printed Name: [NOTARY PUBLIC NAME]
My Commission Expires: [MM/DD/YYYY]
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