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Get VA Employment/Education and Training Verification Form - Fairfax County

Nal) Employee’s Address: (street) (city) (zip) Employee’s Home Telephone: I authorize my employer to release information regarding my employment, salary and schedule. Employee’s Signature Section II: Date Employer to complete 1. _________________________________ works for me ________ hours per week at an hourly rate of _________. 2. This employee is paid: 3. The employee does ________ / does not _________ receive paystubs. If the employee does receive paystubs according _____.

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