Employment Verification Letter Request Form Employment Verification Letter Request Please fill out this form to request an Employment Verification Letter. Name * RequiredAs it appears on passport. First Last Workday Employee Number Email * Required UAMS Start Date * RequiredMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current Position * Required Current Salary * Required Reason for Letter Request * RequiredIf choosing “other”, please provide a brief description for reason of request. Travel Driver’s License Renewal H-1B Pending Approval Requested Pick Up Date for Letter * Required**PLEASE NOTE: Requested pick up date may not be less than 10 days from today. Request should be made 2-3 weeks prior to date needed.** I wish to receive my EVL: * Required By email only (Please note the hard copy EVL will not be available for pick-up.) Pick up hard copy at Immigration Services Office