Basic Verification/Reference Information  (what your software should provide)    
   
Basic Info.   Order Number Service Level  
    123456   Employment Verification  
   
Your Customer   Customer Name Contact   Email   Phone   Fax  
    ABC Company Joyce Jones jj@abc.com 123-456-7890 123-456-7891  
   
The Applicant   Applicant Name Address   City   State   Phone  
    Robert Allen Doe 123 Main St. Mt. Pleasant  MI   425-425-4256  
   
    AKA   SSN   DOB  
    Jones   123-45-6789 1/1/1960    
   
The Verifying Party   Employer   Contact   City   State  
    Omnitech Margaret Mills Lansing   MI   Outcomes  
                    Release Req.  
    Commetents   Phone Provided Disconnected  
                456-789-1234 No Answer  
            Wrong Number  
                Phone Developed Left Message  
    456-789-1111 Call Back (date/time)  
History/Status   Call History  
    Date Time Action   Status Comments        
    3/31/2006 13:45 Left message In Prog LM for James Hill, HR Dir. No one else can give VOE  
    3/31/2006 13:30 Number validated In Prog Alt. number found on Google 456-789-1111  
    3/31/2006 12:18 Order received New          
   
VOE   Start Date   End Date   Title    Salary  
    1/1/2000   6/1/2002   Production Manager $45,000/yr  
    1/1/2000   5/15/2002   Production Manager NA      
   
    Eligibility for rehire   Reason for leaving  
    Yes       Better offer    
   
 
 
    Reference Policy: CAN provide reference Text Box: X
 
CANNOT provide reference  
   
Reference   Reference Questions  
   
    What is your relationship to the applicant: supervisor, co-worker, other?  
                     
    How did the applicant get along with others?  
                     
    Did the applicant have a good attendance record?  
                     
    What would you say are the applicants professional strengths?  
                     
    Are there any areas in which you think the applicant could improve job performance?  
                     
   
Verifier   Verifier Name Title   Phone  
    James Hill HR Director 456-789-1235  
   
Validation   Record accessed by Name, SSN or DOB?  
    Name        
             
    Record from file or memory?  
    Record        
              COMPLETE