Authorization and Release Form

Human Resources routinely provides verbal and written verifications of employment.  Verifications of employment include the employee's job title, date of hire and date of termination (if applicable,) and verification of salary. 

Requests for reference checks contain questions about how an employee performs or performed their job, and other related factors such as punctuality, or quality of work product.  Reference checks are usually completed by an employee's current or former supervisor.  For external reference checks, a Deschutes County Authorization and Release Form must be completed and on file before supervisors will respond to such a request.  

Authorization and Release Form

While this form is not required to be completed during employment or upon leaving employment, supervisors are instructed not to provide external reference checks for current or former employees until confirming this completed form is on file with Human Resources.  

Please contact Human Resources at hr@deschutes.org or call (541) 388-6553 if you have questions regarding the use of this form.