The form should be completed by the potential debtor’s employer, rather than the debtor themselves. In the top section of the form, the employer will need to provide their name or the name of their company. They will also need to give the street address, including the state and zip code.
When the employer reaches the first entry field, they have to enter the employee’s name. They must do this again when they get to the second field. The remaining two spaces are for the employer to enter the dates that the employee began working at their business, along with the name of the business.
The employer should give specifics about the employee, including:
Their name and title
Whether they work part-time or full-time
The total hours worked each week
Wages
Frequency of payments
Whether any bonuses were given, along with the amount of any bonuses
The phone number for the employer
The employer will sign the form, type their name, and note their title.[pdf-embedder url=”https://cdn-prod-pdfsimpli-wpcontent.azureedge.net/pdfseoforms/pdf-20180219t134432z-001/pdf/employment-income-verification-form.pdf”]