Common use of EMPLOYEE’S CERTIFICATION Clause in Contracts

EMPLOYEE’S CERTIFICATION. Employee to perform services as (mark one): Name Chaplain Fireman ___Dentist Registered Nurse Licensed Practical Nurse Social Security # L icensed Physician Psychologist Employed by Certified Oral or Manual Interpreter for Deaf Person Employee’s Signature Teacher or Instructor of an evening or night course or program Date Professional holding a doctoral or masters degree from an accredited college or university

EMPLOYEE’S CERTIFICATION. Employee to perform services as (mark xxxx one): Name NAME Chaplain Fireman ___Dentist Registered Nurse Licensed Practical Nurse Social Security # L icensed Licensed Physician Psychologist Employed by SOCIAL SECURITY # Certified Oral or Manual Interpreter for Deaf Person Employee’s Signature EMPLOYED BY Teacher or Instructor of an evening or night course or program Date EMPLOYEE’S SIGNATURE Professional holding a doctoral or masters degree from an accredited college or universityuniversity DATE

EMPLOYEE’S CERTIFICATION. Employee to perform services as (mark xxxx one): Name ) ; NAME: Chaplain Fireman ___Dentist Dental Registered Nurse Licensed Practical Nurse Social Security # L icensed Licensed Physician Psychologist Employed by SOCIAL SECURITY # Certified Oral or Manual Interpreter for Deaf Person Employee’s Signature Process EMPLOYED BY Teacher or Instructor of an evening or night course or program Date EMPLOYEE’S SIGNATURE Professional holding a doctoral or masters degree from an a accredited DATE college or university

EMPLOYEE’S CERTIFICATION. Employee to perform services as (mark xxxx one): Name ) ; NAME: Chaplain Fireman ___Dentist Dental Registered Nurse Licensed Practical Nurse Social Security # L icensed Licensed Physician Psychologist Employed by SOCIAL SECURITY # Certified Oral or Manual Interpreter for Deaf Person Employee’s Signature Process EMPLOYED BY Teacher or Instructor of an evening or night course or program Date EMPLOYEE’S SIGNATURE Professional holding a doctoral Doctoral or masters degree Masters Degree from an accredited college DATE College or universityUniversity