Certificate of service 						Form 13

[insert date]

To whom it may concern,

This is to certify that [insert employee full name] left the service of this company on [insert date]. [He/She] was in our employment from [insert start and finish dates] and at the date of leaving was in the position of [insert position title]. The main duties of this position were [insert duties]: 

	

It is the policy of [name of business] not to issue any reference other than the above statement of service.

Yours faithfully,

[insert full name and position of relevant person]	

Instructions:
•	Ensure consent is signed by exiting employee
•	Keep copy in HR File