This form is used to inform the plaintiff's employer that an attorney has been retained by plaintiff and that plaintiff authorizes the release to attorney of employee's records.
Arkansas Authorization for Wage and Employment Information with Revocation of Any Previous Authorizations
State:
Multi-State
Control #:
US-PI-0243
Format:
Word;
Rich Text
Instant download
Description
How to fill out Authorization For Wage And Employment Information With Revocation Of Any Previous Authorizations?
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FAQ
1-800 482-8988 or 501-682-8233 ? Available Monday-Friday 8- p.m. Call center hours are Monday through Friday 8 a.m. until 5 p.m.
All requests must be submitted in writing via US mail to the address below, via fax to 501.682. 6553 or via email to emp.verifications@dhs.arkansas.gov.
