CCP EMPLOYMENT VERIFICATION FORM ***For use by 2026

1. Click ‘Get Form’ to open the CCP EMPLOYMENT VERIFICATION FORM in the editor.
2. Begin by filling out your personal information at the top of the form, including your Last Name, First Name, Initial, AMT ID#, Address, City, State, Zip, Country, Email, and Daytime Phone Number.
3. Select the certification for which this form is submitted by checking only one box from the provided options.
4. Once you have completed your section, provide a copy of this form to each employer you have worked for in the past three years and request that they complete their section.
5. Instruct your employer to fill out their details including Institution name, Address, City, State, Zip, Country, Employer Phone, Email, Dates of Employment (start and end date), Position or job function during employment and Employment status.
6. Ensure that your employer signs and dates the attestation section to verify your employment details before returning it to you.

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