Salary Confirmation Authorization for FastCash Dominica Employee
This document is a Salary Confirmation Authorization used by FastCash Dominica to verify an employee's employment details, salary, and deductions. It requires the employee to provide accurate information about their employment, income, and deductions, which is then certified as true by an authorized company representative. The form is used to confirm salary and employment status, typically for financial or loan purposes.
| Tel: (767) 448-3278, Fax: (767) 448-5778, Email ***@*** | ________________________ |
| FastCash Dominica – Roseau, 25 King George V Street Anse de Mai, Dominica |
This is to certify that the following information listed below is true and correct:
is employed at as A and does not work on commission.
| DESCRIPTION | DATA ENTERED BY EMPLOYEE | CORRECTIONS | ||||
| Employment Date | ||||||
| Social Security # | ||||||
| Salary Payment Method | ||||||
| Salary Payment Frequency | ||||||
| Salary | ||||||
| Overtime | ||||||
| Allowance | ||||||
| Total Income | ||||||
| Income Tax / PAYE | ||||||
| Social Security | ||||||
| Other Govt. Deduction | ||||||
| Loans 1 | ||||||
| Loans 2 | ||||||
| Hire Purchase 1 | ||||||
| Hire Purchase 2 | ||||||
| Insurance Life | ||||||
| Insurance Health | ||||||
| Savings | ||||||
| Other Deductions | ||||||
| Take Home Pay | ||||||
I_______________ (name), _______________ (position) of certify the above stated information to be true and correct to the best of my knowledge.
| Authorized Signature | Date | Company Stamp |
