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EMPLOYMENT REFERENCE RELEASE



This Agreement ("Agreement") is made and effective this [DATE],


BETWEEN:  [EMPLOYEE NAME] (the "Employee"), an individual with his main address at:[COMPLETE ADDRESS]


AND:  [YOUR COMPANY NAME] (the "Company"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:[YOUR COMPLETE ADDRESS]


NOW, THEREFORE, in consideration of the mutual covenants set forth herein and intending to be legally bound, the parties hereto agree as follows:


TERMS

The Employee acknowledges that he/she has been informed that it is Companys general policy to disclose in response to a prospective employer's request only the following information about current or former employees: (1) the dates of employment, (2) descriptions of the jobs performed, and (3) salary or wage rates.

By signing this release, the Employee is voluntarily requesting that Company depart from this general policy in responding to reference requests from any prospective employer that may be considering the Employee for employment. The Employee authorizes the Company to disclose to such prospective employers any employment-related information that Company, in its sole discretion and judgment, may determine is appropriate to disclose, including any personal comments, evaluations, or assessments that Company may have about Employees performance or behavior as an employee.

In exchange for Companys agreement to depart from its general policy and to disclose additional employment-related information pursuant to the Employee request, the Employee agrees to release and discharge the Company and Companys successors, employees, officers, and directors for all claims, liabilities, and causes of action, know or unknown, fixed or contingent, that arise from or that are in any manner connected to Companys disclosure of employment-related information to prospective employers. This release includes, but is not limited to, claims of defamation, libel, slander, negligence, or interference with contract or profession.

The Employee acknowledges that he/she has carefully read and fully understands the provisions of this release and further acknowledges that he/she was given the opportunity to consult with an attorney or any other individual of his/her choosing before signing this release and that he/she has decided to sign this release voluntarily and without coercion or duress by any person.






This release sets forth the entire agreement between [COMPANY] and [EMPLOYEE], and the Employee acknowledges that he/she has not relied upon any representation or statement, written or oral, not set forth in this document.


COMPANY            EMPLOYEE



                          
Authorized Signature  Authorized Signature

                          
Print Name and Title          Print Name and Title



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