Employer statement form 2025

Get Form
employer statement Preview on Page 1

Here's how it works

01. Edit your employer statement online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send employer statement form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out employer statement form with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the employer statement form in the editor.
  2. Begin by entering the employee's name, date of birth, and social security number in the designated fields.
  3. Next, provide the employee's address followed by the employer's name and address in the respective sections.
  4. Input the license number under which the employer is licensed by the Superintendent of Financial Services.
  5. Indicate whether the employee was regularly employed for at least one year in responsible insurance duties by selecting 'Yes' or 'No'.
  6. If applicable, answer question 6a regarding employment duration and provide dates of employment if necessary.
  7. Finally, affirm that all information is true by signing and dating the form. Ensure that it is signed by an authorized individual if representing a corporation or partnership.

Start filling out your employer statement form online for free today!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
An Employee statement will cover all the required terms and conditions of employment such as pay, hours, place of work, job title and specification and holiday entitlement, but where other optional contractual terms are necessary for a particular role, our Contract of employment or Employment agreement may be
What is an employers statement? An employers statement is a form containing questions about the employment and income of your employee. It is proof of employment. Your employee may need this document to rent a house, to apply for a loan, or when applying for a mortgage to buy a house.
If your state isnt one that requires your employer to automatically provide a statement, youll have to request one. Contact the human resources or accounting departments at your place of work to do so. Theyll be able to walk you through the steps that your employer requires for you to get access to your records.
Employees are entitled to receive a statement of their employment particulars within two months of starting work. This sets out your main employment terms, including the job description, pay, hours of work and any disciplinary or grievance procedures your employer has.
be ready to get more

Complete this form in 5 minutes or less

Get form