Employee Request To Inspect Personnel File



Date Requested:

Tax I.D. No:


Work Phone:

I request an appointment with the Personnel Department for the purpose of inspecting my personnel file.

I previously reviewed my file

________________________ Date:


File review appointment scheduled for

Date: Time: ________ Am/Pm


Date File Review Completed:

Employee comments regarding information in the personnel file:

__________________________ Date:

Personnel Representative

__________________________ Date:

Employee Signature

Employee should complete top section of request form and forward to the Personnel Department. Place one completed copy of this form into personnel file upon completion of review.

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