Human resources
Salary certificate template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
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Preview — US standard
Employment and Income Verification Letter
Company Name
Company Address
Company Phone or Email
Date: Letter Date
To: Recipient Name or Organization
Re: Verification of employment and income for Employee Name
At the request of Employee Name, who has authorized this disclosure, Company Name confirms the following from its payroll records:
| Detail | Information |
| --- | --- |
| Job title | Job Title |
| Employment start date | Start Date |
| Status | Full Time or Part Time, Salaried or Hourly |
| Base pay | $Base Pay Amount per Pay Period |
| Average weekly hours, if hourly | Average Weekly Hours or Not Applicable |
| Other regular pay | Bonus, Commission or Overtime Details or None |
| Year-to-date gross pay | $Year-to-Date Gross Pay as of Year-to-Date Date |
This letter states pay before taxes and deductions. It is not a guarantee of continued employment or pay, and employment is at will unless a separate written contract says otherwise.
Questions may be sent to Contact Name at Contact Phone or Email.
Sincerely,
Authorized Signature
Signer Printed Name
Signer Title