SSC-HR-Former Employees Data Request

Please complete this eForm and upload a signed authorization form as well as any other forms needing completion, if applicable. If submitting a Public Service Loan Forgiveness (PSLF) request, please upload a completed and signed Page 1 of the PSLF form. A separate signed authorization is not required if submitting a signed PSLF Page 1.

Per policy, the SSC is unable to provide:

*Specific information on academic appointments
*U-M student verifications
*Creditworthiness
*Evaluation questions
*Credentialing/Privileging Requests for Medical Staff
*Visa/Travel letters
*Verification of future employment not available in Wolverine Access
*Continuation of employment or future earnings
*Specific job descriptions or duties
*Reason for leaving or rehire status
*Information for University relationships that are: Affiliated, Sponsored Non-Employee Taxable Services, or PeoplePay
University of Michigan Employee - Full SSN
Please select the employment verification below that suits your need.
Please select the employment verification below that suits your need.
Requested Information
Requested Information
*Authorization
*Form
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The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.

Other Fields

Your name
Verification Code