Wage Verification Form

Wage Verification Form

    Wage verification forms can be tricky things to write and often require legal expertise. Worse still, if they are poorly written by non-experts who don't know the law, small errors can lead you into trouble later down the road. We have the solution - our wage verification form template is compliant with local laws and can save you from any legal disputes. It is written with simple language so there are no misunderstandings between employer and employee. The best part? It is free of cost!

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Wage Verification Form
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Wage Verification Form

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The wages of employees are identified legally with a wage verification form. CocoSign allows you to create legally-binding wage verification forms in minutes using pre-formatted templates.

Our wage verification form includes:

  • The basic information of the employer and employee
  • Employer's consent
  • Dates of employment
  • Average monthly earnings

What Is a Wage Verification Form & How Does It Work?

A wage verification form is a legal document which can be issued by a concerned party to the employer requesting the wage details offered to a particular employee. The requests can be made by either government agencies or private entities.

This form is a de-facto for gathering accurate information on someone’s income from a particular employer legally. Any other form of request is either not entertained or provided with inaccurate information. And there’s no way you can hold anyone liable for it.

Wage verification starts with someone who wants to know a person’s wage from a particular employer. The employer can be either his/her present employer or past. This can be for a variety of reasons (we’ve mentioned some common scenarios in the section below).

To get the details, they’re required to create the wage verification form that complies with their respective state law. Once prepared, the wage verification form will be sent over to the employer via mail or e-mail. If satisfied with the formatting and request, the employer may respond with the wage details.

Download Our Free Wage Verification Form Today!

Download our free wage verification letter templates, fill them out correctly and easily, or simply customize them however works best for your business!

Why Is The Wage Verification Form Important?

An income verification form is a legal form. That means it holds great importance. First of all, such a verification form is important because that’s the only legal way you can obtain the wage details of a person. Most employers shy away from disclosing their wage history to non-concerning parties. But with this form as a request, they’d have to disclose the correct information to remain compliant with the regulation.

Also, you can ensure that the wages presented on the form are accurate. Providing wrong numbers would definitely lead the employer into problems.

Not only the proof of income form, but the content and field are equally important. Some of the fields you must include are:

  • Employee’s formal name
  • Employer
  • Employer’s address
  • Occupation
  • Date of Employment
  • Wage as Salary
  • Other Supplement Income
  • Working days per week
  • Paid Leaves
  • Signature

CocoSign provides ready-to-use wage verification form templates that contain all the necessary fields.

When Is a Wage Verification Form Used?

A wage form is used in different scenarios. Some of the most common ones are:

Requests made by tax departments

Tax departments often have to keep a tab on someone’s income sources in case of legal suspicion. Therefore, they send letters to his/her respective employers along with the wage verification form to get the wage details.

Often, they have their own forms provided by the form. But this is perhaps the best example of where a wage verification form is used the most.

During the hiring process

When you onboard a new employee, you often have to negotiate his salaries, which is typically higher than what he was paid at their previous company. While the employee may reveal the figures himself, it might not be exact. Therefore, to get the exact figures, you send a wage verification request form to his former employer. This way, you can negotiate better with a new employee.

Download Our Free Wage Verification Form Today!

Download our free wage verification letter templates, fill them out correctly and easily, or simply customize them however works best for your business!

When seeking health and disability information

Employers also protect their employees’ health information and keep it confidential. To access this information, you can send in the wage verification form along with the employment verification form. By correlating both, you’ll be able to conclude how their former employer treated their health concerns. Health insurance companies also use these forms to get data.

CocoSign offers dozens of pre-defined wage verification of income form templates you can download and use for your own organization. These are compliant with local laws and are easy to use.




Requesting Party


Name __________________________

Phone __________________________

E-Mail __________________________

Fax __________________________


Employee Consent


I, __________________________, authorize and hold harmless of any legal and financial liability my employer to release to the requesting party listed above. I understand that this information may be verified by phone, fax, or e-mail.



Signature ________________________ Date __________ Print ________________________




Employee Job Title: ________________________ Start Date: __________


On Leave? Yes No


If Yes, Type of Leave: __________________________________


If Yes, Return Date: __________


Monthly Average


Hourly Pay: $__________ Commission: __________ Tips: __________


Pay Period: Weekly Bi-Weekly Monthly Paid in Cash? Yes No


Work Schedule


























Do Hours Vary? Yes No


If Yes, Explain: _______________________________________






Employer / Company Name: ________________________



Address: ________________________ City: ________________________ State: __________



Phone: ________________________ E-Mail: ________________________



I certify that the information listed above is true and accurate to the best of my knowledge.



Signature ________________________ Date __________ Print ________________________



Title: ________________________




CocoSign represents a wide collection of legal templates covering all types of leases, contracts and agreements for personal and commercial use. All legal templates available on CocoSign shall not be considered as attorney-client advice. Meanwhile, CocoSign shall not be responsible for the examination or evaluation of reviews, recommendations, services, etc. posted by parties other than CocoSign itself on its platform.

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