SSC-HR-Company Information Request

Please use this form if you are a background screening company or a company looking for general employment verification not related to mortgage purposes (e.g., Sterling Talent Solutions, HireRight, Certiphi, Business Information Group, etc.)

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

Your Company Name

Phone Number

Fax Number

Email

Reference #

University of Michigan Employee First Name

University of Michigan Employee Last Name

University of Michigan Employee DOB (MM/DD/YYYY)

If known, please list the employee's eight digit University of Michigan ID number.

University of Michigan Employee - Full SSN

Requested Information

Hire Date

Termination Date (if applicable)

Current and/or Final Job Title(s)

Specific Job Title(s) and/or Specific Date(s)

Full Employment History

Standard Hours & Full-time vs. part-time

Salary/Hourly Rate

Pay Frequency (biweekly or monthly)

Gross earnings from ________ to _______

Specific Job Title(s) and/or Date(s)

Gross earnings start date

Gross earnings end date

Attachment

*Authorization
*Form

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Description

The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.

Please allow up to five business days for processing your request. We appreciate your patience.

Your name

Your email address

Verification Code

SSC-HR-Company Information Request

Per policy, the SSC is unable to provide:

Other Fields