Your former employee, ______________, has applied to our
firm for employment as a ______________(name of position).
We are writing to request information concerning
____________________ (name of employee) including the following:
(1) dates of employment; (2) rate of compensation; (3)
performance evaluation; and (4) reason for termination of
employment.
Would you also please state whether he/she would be
eligible for reemployment with your firm.
Any information furnished by you will be held in
strictest confidence.
Thank you for your kind attention and cooperation.
Very truly yours,
___________________________
Form 401
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