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Suite 318 Mankato MN 56001 Employee Information Employee name Date Phone number Last 4 digits of SSN I authorize MRCI WorkSource to release the following information Hire date End date Wage Verification of earnings from to Copies of Pay Statements from Benefit eligibility Other Signature HR Office Use Date received Completed by. Consent to Release Employment Information Please complete the following form and return to Human Resources Fax 888-696-8552 Mail MRCI - CDS 1961 Premier Dr.
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