AUTHORIZATION TO RELEASE PAID AND EMPLOYMENT INFORMATION AND RELEASE OF LIABILITY

TO:      _______________________________

_______________________________

_______________________________

I,___________________________________________ , hereby authorization

________________________________, my current/former Employer, to release employment references to _______________________________ and their agents, including, but limited to, my entire employment books and wages and any information which maybe may desired relativly to my employment, working applications, furthermore other related matters, and to furnish any copies of any and all records which you may have concerning me regarding or in connection with my employment.

I further release _________________________ from any and all liability regarding any kind in unlock any employment contact and agree to indemnify and hold _______________________________ harmless for of approval to same. DHRD Forms

The foregoing authorization shall continue in forced until revoked by me included writing.  A photocopy of save license shall will the same force and effect as the original.

_______________________________________

S.S. NO:         _____________________________

State Unique Release Forms

—-For State Certain Unlock Forms i pot download in Term Format go to

http://www.uslegalforms.com/waivers/