Mdhhs 38 rev 4 21 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by completing the client ID box at the top of the form. This is essential for identifying the client.
3. Obtain the client’s signature in the designated area to authorize the release of their employment information.
4. Fill in the employer’s name and address if available, ensuring accurate contact details for verification.
5. Enter a return date to indicate when you expect the completed form back from the employer.
6. Complete your own details, including your name, phone number, fax number, and county address for follow-up purposes.
7. Provide the employee’s name, social security number, and address to ensure proper identification.
8. Indicate which sections (1, 2, 3, or 6) you want completed by marking an 'X' in the appropriate box.

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