Horizon Homecare
Employment Reference Request

The person detailed below has applied for employment with Horizon Home Care and has supplied your name as a referee in support of their application. An applicant may not commence employment with us until we have received all required references, one of which has been requested from you. Please can you complete the appropriate sections depending on your capacity as a referee and return this form as soon as possible.

When completing this form please note that you have a legal liability for the reference you provide and therefore the reference should not contain false information. The reference you provide may also be discussed with the applicant. We would also like the opportunity to telephone you, should we require any further detail or clarification on any part of the reference you provide.

Should you have any questions or wish to discuss this reference request further please contact the Horizon Homecare HR department on 01202 737456.

Employee Information

Employee's Name *

Employee's Job Title

Employee's Start Date *

Employee's End Date (if still employed please put today's date) *

Would you re-employ this person? *

Yes No

If No, please explain why

Declaration (to be completed by all referees)

Your Name *

Your email address *

Company name

Position

Send a copy to yourself

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Horizon HomecareEmployment Reference Request

Horizon Homecare
Employment Reference Request