REQUEST FOR EMPLOYMENT REFERENCE



                                        Date:

        To:


        Dear:

                Your former employee, ______________, has applied to our 
        firm for employment as a ______________(name of position).  

               We are writing to request information concerning 
        ____________________ (name of employee) including the following:  
        (1) dates of employment; (2) rate of compensation; (3) 
        performance evaluation; and (4) reason for termination of 
        employment.  

                Would you also please state whether he/she would be 
        eligible for reemployment with your firm.

                Any information furnished by you will be held in 
        strictest confidence.

                Thank you for your kind attention and cooperation.

                                        Very truly yours,


                                        ___________________________


                                                        Form 401