Request for Employment Verification Company: My Roti Place Date Requested: December 4, 2019 I work for a Canadian company called Sterling Backcheck (www.sterlingbackcheck.ca). We conduct preemployment background checks. I would like to verify the employment of one of your employees, Mimoh SHARMA. Additional Candidate Information: Please complete the information below. If you are unable to comment on a specific question, please indicate why (i.e. no records found, unable to comment due to company policy, etc). Signed consent is provided on the following page. Please confirm or provide information below Not on file Policy not to release Start date: ☐ ☐ End date: ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Add any breaks in employment dates here: Last position held: Is this equivalent to: Accounting Intern ☐ Yes ☐ No Reason for leaving: Would this person be eligible for rehire or if currently employed, are they in good standing with the company? ☐ Yes If no, can you specify why? ☐ No For our records, please provide the following information: Your name: Your position: For your convenience, you may respond by: Email: Natalia.Palacios@sterlingcheck.com Fax: 604.786.5616 | 1.866.786.5616 Phone: 604.455.5575 | 1.866.455.5795 Thank you, 200-19433 96 Avenue | Surrey, BC V4N 4C4 | Canada | sterlingbackcheck.ca | 866.455.5782 The personal information contained in this document is disclosed for the purpose of obtaining information for a background check report. It is intended only for the person or organization to which it is addressed. Collection, use or disclosure of this personal information for any other purpose is prohibited by law. Please destroy this document once it is no longer required for the aforementioned purpose. If you have received this document in error, please call 1-866-455-5671 or email privacy@sterlingcheck.com immediately. 200-19433 96 Avenue | Surrey, BC V4N 4C4 | Canada | sterlingbackcheck.ca | 866.455.5782 The personal information contained in this document is disclosed for the purpose of obtaining information for a background check report. It is intended only for the person or organization to which it is addressed. Collection, use or disclosure of this personal information for any other purpose is prohibited by law. Please destroy this document once it is no longer required for the aforementioned purpose. If you have received this document in error, please call 1-866-455-5671 or email privacy@sterlingcheck.com immediately.
