This Authorization to Obtain Employment Information is for use by a client and gives his or her counsel authority to obtain employment information. This authorization contains all relevant information including the name of the law firm and the employer. It also sets out which employment information can be released. Many employers will not release employment history or information without an authorization.

This Authorization to Obtain Employment Information sets out the following:

• Employer: The name and address of the client's employer;
• Law Firm: Name of the law firm requesting the employment information;
• Information: The reason why the information is being sought (i.e., auto accident or other injury) and information the employer is authorized to release. This authorization must be signed and dated by the client/employee.

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This attorney-prepared packet contains:

1. General Information
2. Authorization to Release Employment Information

State Law Compliance: This form complies with the laws of all states