When requesting employment verifications, please use this form and submit the requested information below. Contacting us through this form is the most efficient method for submitting your request.

Employee First Name*

Employee Last Name*

Employee Current Department (if known)

Unknown or Unsure Administration Board of Elections Building Regulations Canine Care and Control (LC4) Child Support Enforcement Agency Office of the Coroner Diversity, Equity, and Inclusion Emergency Services/EMA Economic Development Department Facilities Family and Children First Council Guardianship Services Board Human Resources Job and Family Services Lucas County Information Services (LCIS) Office of Management and Budget Mental Health and Recovery Services Board Office of the Recorder Sanitary Engineer Solid Waste Support Services System Solutions Office of the Treasurer Veteran Service Commission Water Resource Recovery Facility Workforce Development

Company Name*

First Name*

Last Name*

Title*

Contact Phone*

Contact Email*

Best Time of Day to be Reached*

Morning Noon Afternoon Evening Any