Chapter 1 - FORM 1-6 : AUTHORIZATION TO RELEASE EMPLOYMENT RECORDS

• Jurisdiction: Colorado

Form 1-6: Authorization to Release Employment Records

AUTHORIZATION TO RELEASE EMPLOYMENT RECORDS

TO: __________
RE: Name: __________
Social Security No.: __________
Date of Birth: __________

This form will serve to authorize the above-referenced company, or a custodian of records designated by that company, to release to the law firm of [law firm name], c/o [attorney's name], [address], or their representatives, my employment/personnel records with you, including but not limited to, applications and contracts for employment, dates of employment, locations of employment, job duties, job descriptions, records of promotion and demotion, records of attendance, supervisors' evaluations, hours worked, wage rates, and any other employment information you may have concerning me.

Information will be at the request...