Bestway Rent-to-Own
384 Cox Creek Parkway
Florence, AL 35630
Phone: 256-764-0999
Fax: 877-705-4634
To: From: Bestway Rent-to-Own
Fax: Pages:
Phone: Date:
Re:
Reason: Employment Verification
Priority: High
EMPLOYMENT VERIFICATION FORM; PLEASE FILL OUT AND FAX TO NUMBER ABOVE.
NAME OF PERSON RESPONDING __________________________________________________________
EMPLOYEE JOB TITLE ___________________________________________________________________
HIRE DATE ____________________________________________________________________________
SHIFT OR DEPARTMENT _________________________________________________________________
IS EMPLOYEE RELIABLE (CIRCLE ONE) YES NO
CAN WE LEAVE MESSAGES? (CIRCLE ONE) YES NO
RELEASE OF INFORMATION TO BESTWAY; PLEASE READ BEFORE SIGNING
The information I have provided on this rental order is correct. I authorize Bestway to confirm all of the information I hav e
provided. Bestway may contact any person or company I have listed above and I fully release all parties from liability for any
damage that may result. My (our) signature(s) below indicates that for the purposes of confirmation. I (We) have
voluntarily waived the protection al all rights to privacy laws. This form is an application to rent and may be rejected if I (we)
fail to qualify or if any of the information provided is found to be false.
Signature Renter 1 _____________________________________________________________________
Signature Renter 2 _____________________________________________________________________