verification of employment - canadian organization of

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Verification of Employment Employee Information First Name Last Name Start Date (DD-MM-YYYY) Length of Employment Please describe the scope of practice and duties performed by the employee: Employer Contact Information Company Name of Employer City & Country of Employment Location First Name Last Name Title Telephone Number Email Relationship to Employee Signature Date (DD-MM-YYYY) The Employer must submit directly to COPR: [email protected]

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Page 1: Verification of Employment - Canadian Organization of

Verification of Employment

Employee Information

First Name Last Name

Start Date (DD-MM-YYYY) Length of Employment

Please describe the scope of practice and duties performed by the employee:

Employer Contact Information

Company Name of Employer City & Country of Employment Location

First Name Last Name

Title Telephone Number

Email Relationship to Employee

Signature Date (DD-MM-YYYY)

The Employer must submit directly to COPR: [email protected]