Verification of Employment, Personnel File, Disclosure, and Release Request Form (Former Employees Only)

Former Employees should request an employment verification or personnel file by using this form. Current Employees should log in to Human Resources ServiceNow portal to request such information. We regret that current active employee requests will not be processed using this form.
 
Clayton State University protects, collects, and stores, as appropriate, employment information as prescribed by policy and procedure.  Clayton State University utilizes "The Work Number," where employees (current and former) can obtain or refer verifiers to obtain information related to their employment with the University. For more information, use this link: The Work Number. Clayton State University's employer code is 18677.

When special circumstances arise where one cannot use The Work Number, please complete this form to request employment information related to employment with Clayton State University. Requests are typically fulfilled within five to seven business days, after your request is received. There may be circumstances where research may be required, and requests may take longer to fulfill.

Before the University releases information, identity verification is required, and charges may apply (payment is required in advance where applicable) for gathering, preparing, and releasing such information in alignment with the Freedom for Information Act. Feel free to contact Human Resources at 678-466-4230 to learn if charges apply, though typically; you will be notified once your request is received.

Please be advised of the following requesting party's responsibility. Where fees or pre-paid postage labels/envelops are applicable, such must be remitted prior to the release of materials:
    • Paper copy $0.10 per page.
    • Mailed electronic or paper copy requires a pre-paid postage label and shipping envelope.
    • Electronic copy (portable document format only) requires a removable storage device in an unopened original packaging (i.e., jump drive) – no fee.
    • Electronic copy (portable document format only) University-supplied removable storage device $5.00.

Payment Remittance Information:
Money Orders or Certified Checks should be payable to Clayton State University – Human Resources.

Payment Remittance Address:
Clayton State University - Human Resources
2000 Clayton State Boulevard
Arbor Hall, Suite 125
Morrow, GA 30260








Who will receive the information?
What are your requesting?
Please indicate what information should be released on the Verification (check all that apply):