Scribd
Upload
234 views1 page

Proof of Employment Letter 07

This letter is to verify the employment of an individual at a specific employer. It confirms the employee's name, employer's name, gross income amount and pay date. The frequency of payment, such as weekly or monthly, is also specified. The employer's signature, title, address, phone number and date are provided at the bottom. The document also includes a statement that the USDA prohibits discrimination in its programs and activities.

Uploaded by

Paul Lim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
234 views1 page

Proof of Employment Letter 07

This letter is to verify the employment of an individual at a specific employer. It confirms the employee's name, employer's name, gross income amount and pay date. The frequency of payment, such as weekly or monthly, is also specified. The employer's signature, title, address, phone number and date are provided at the bottom. The document also includes a statement that the USDA prohibits discrimination in its programs and activities.

Uploaded by

Paul Lim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Form 241

Revised 8/15

Letter to Verify Employment

This statement is to confirm that _______________________ is employed at


Name of Employee
_________________________.
Name of Employer

______________________ received a gross income (before deductions for


Name of Employee

taxes, social security, insurance, etc.) of $______________ on ___/___/___.


Date
The frequency of payment is:

Weekly Every two weeks Twice a month Monthly

________________________/_____________ __________________
Signature of Employer Title Date

___________________________________ (____)_________________
Address State Zip Code Telephone Number

The U.S. Department of Agriculture prohibits discrimination against its customers,


employees, and applicants for employment on the basis of race, color, national origin, age,
disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs,
marital status, familial or parental status, sexual orientation, or all or part of an individual’s
income is derived from any public assistance program, or protected genetic information in
employment or in any program or activity conducted or funded by the Department. (Not all
prohibited bases will apply to all programs and/or employment activities.) If you wish to file a
Civil Rights program complaint of discrimination, complete the USDA Program
Discrimination Complaint Form, found online at
http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866)
632-9992 to request the form. You may also write a letter containing all of the information
requested in the form. Send your completed complaint form or letter to us by mail at U.S.
Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue,
S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at
[email protected]. Individuals who are deaf, hard of hearing or have speech
disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800)
845-6136 (Spanish). USDA is an equal opportunity provider and employer.

You might also like