Post-Employment Information Release Agreement

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{company_phone}}

Email: {{company_email}}

Website: {{company_website}}

Date

{{date}}

To Whom It May Concern,

This Post-Employment Information Release Agreement (the 'Agreement') is made and entered into on {{date}} by and between {{former_employee_name}} (the 'Former Employee') and {{company_name}} (the 'Company').

RECITALS

WHEREAS, the Former Employee was previously employed by the Company in the position of {{position_held}} from {{start_date}} to {{end_date}}.

WHEREAS, the Former Employee may require the Company to provide employment-related information to prospective employers or other third parties.

WHEREAS, the Company desires to obtain the Former Employee's explicit consent for the release of such information in accordance with applicable laws and regulations.

AGREEMENT

1. **Authorization to Release Information**. The Former Employee hereby authorizes {{company_name}} and its agents, employees, and representatives to release information pertaining to their employment with the Company to any prospective employer, educational institution, or other third party inquiring about the Former Employee’s employment history.

2. **Scope of Information Released**. The information that may be released includes, but is not limited to: dates of employment ({{start_date}} to {{end_date}}), job title(s) ({{position_held}}), duties and responsibilities, salary history ({{salary_range}}), performance evaluations ({{performance_summary}}), and reason for separation ({{reason_for_separation}}). The Former Employee specifically authorizes the release of the following, if applicable: {{specific_information_to_release}}.

3. **Waiver and Release of Liability**. The Former Employee hereby releases and forever discharges {{company_name}}, its officers, directors, employees, and agents from any and all claims, demands, liabilities, and causes of action arising out of or in connection with the release of the aforementioned information, to the fullest extent permitted by law.

4. **Duration of Authorization**. This authorization shall remain in effect for a period of {{duration_of_authorization}} from the date of this Agreement, or until explicitly revoked in writing by the Former Employee. Any revocation must be submitted in writing to {{HR_contact_person}} at {{HR_contact_email_address}}.

5. **Governing Law**. This Agreement shall be governed by and construed in accordance with the laws of {{country_name}}.

6. **Entire Agreement**. This Agreement constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations, and discussions, whether oral or written, of the parties.

7. **Amendment**. No amendment or modification of this Agreement shall be valid unless in writing and signed by both parties hereto.

CONSENT AND ACKNOWLEDGEMENT

I, {{former_employee_name}}, have read, understood, and voluntarily agree to the terms and conditions of this Post-Employment Information Release Agreement. I understand that I have the right to refuse to sign this authorization.

Signature Block

Former Employee Signature: _____________________________

Printed Name: {{former_employee_name}}

Date: {{date}}

Company Representative Signature: _____________________________

Printed Name: {{company_representative_name}}

Title: {{company_representative_title}}

Date: {{date}}