Employee Evidence Submission Checklist Form
Submit and verify supporting evidence for your employee case file. Please complete all required items and provide details as needed.
Employee Full Name
*
First Name
Last Name
Employee ID (Last 4 digits only, if applicable)
*
Department or Job Title
*
List of Evidence/Documents Attached (check all that apply)
*
Employment Contract
Performance Reviews
Attendance Records
Training Certificates
Correspondence (emails, memos)
Other
Upload Supporting Evidence Files
*
Upload a File
Drag and drop files here
Choose a file
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of
Evidence Description
*
Evidence Date(s)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submission Status
*
Please Select
Complete
Partial
Pending
Are all required documents submitted?
*
Yes
No
If any required item is missing, please explain briefly
Submit Evidence
Should be Empty: