Employment verification

Request employment information through a dedicated review path.

This form is for current or former worker verification—not consulting, RxLaunchOS, careers, Form I-9, or E-Verify support. UEM reviews the requester, authority, record, jurisdiction, and response method before disclosing information.

Looking for the regular Contact UEM form? Go to Contact →

Authorized request · Verified review · Controlled response

Before you submit

Ask only for what the purpose requires.

Employment-verification rules vary by the worker’s state, the requester, and the purpose. The form collects the facts UEM needs to make that review; it does not promise disclosure of every requested item or replace a signed authorization.

Basic employment facts

UEM may confirm facts such as dates of employment, position or title, and current or former status when the record and requester are verified.

Compensation or a custom form

Attach the worker’s current written authorization or the verification form. UEM will still review whether the requested disclosure is appropriate and lawful.

Protected information stays protected

Do not request or submit Social Security numbers, dates of birth, banking details, medical or genetic information, patient information, or client-confidential material.

Response channel is verified

UEM may confirm the requester’s identity, organization, authority, and delivery channel before releasing any information.

Submitting this form confirms only that UEM received a request for review. It does not confirm employment, establish a deadline, or authorize the release of a record.

Section 01

Who is requesting the verification?

Use your business or agency information. UEM may independently confirm your identity, authority, and contact details before releasing any record.

Requester name *Work email *Organization *Role or title *Business phone *Organization websiteRequester type *

Section 02

Whose employment should UEM verify?

Provide enough information to match the correct record. Do not enter a Social Security number, date of birth, bank information, medical information, or genetic information.

Worker’s full legal name *Other name used while working at UEMCurrent or former worker *Last known title or assignmentApproximate employment periodPrimary work state or country *

Section 03

What is needed?

UEM will disclose only information it determines is accurate, appropriate, authorized, and lawful. A request does not guarantee that every requested item will be released.

Purpose of the request *

Information requested *

Select every item you are asking UEM to verify.

Other information or instructionsAuthorization or verification form

Optional for a basic dates/title request. Required when requesting compensation or asking UEM to complete a document. PDF, JPG, or PNG only; maximum 3 MB. Do not upload an ID, Social Security number, banking data, or medical or genetic information.

Section 04

How should UEM respond?

Choose a secure business channel. UEM may use a different secure method after validating the request.

Preferred response method *Secure portal, mailing, or other response instructions

I certify that I am the worker or that I have the worker’s current written authorization or other lawful authority for this request, and I will provide evidence of that authority if UEM asks. *I have not included sensitive identity, financial, medical, genetic, patient, or client-confidential information, and I understand UEM will verify the request before disclosing employment information. *

Required fields are marked with an asterisk.

Submit the purpose

Identify the requester, worker, jurisdiction, information needed, and lawful purpose.

UEM validates

UEM checks the record, requester, authorization, and response channel before disclosure.

Respond securely

Approved information is returned through an appropriate verified business channel.

Rexa is Upper Echelon Management's public AI concierge. Do not share patient information, passwords, trade secrets, or confidential company information.