Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.

REQUEST FOR EMPLOYMENT REFERENCE

Date: 

To: 

From: 

 _________________________ has applied to us seeking a position as __________________, and names your company as a prior employer.

We are requesting a reference on the above applicant including the dates during which the applicant was employed by you, the date upon which the individual left your employment, a rating of his performance, and the reason the individual left your employ.

Enclosed is a consent form executed by the above applicant.

___________________________

Signature

Warning:
These forms are provided AS IS.  They may not be any good.  Even if they are good in one state or jurisdiction, they may not work in another.  And the facts of your situation may make these forms inappropriate for you.  They are for informational purposes only, and you should consult an attorney before using them.