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The form collects participant identity and contact details, loan provider information, and participant signature date. Employers must confirm the employee’s continuous employment in good standing for the defined period and provide completing person details and employer signature. Electronic signatures are treated as legally equivalent to handwritten signatures, with submission rules tied to April 30, 2020.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/public-service-law-loan-repayment-program-employment-verification-form/275761/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/public-service-law-loan-repayment-program-employment-verification-form/275761.png","ImageObject",442,249,{"name":88,"@type":89},"นรินทร์","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-11-03","2026-09-15",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information must the participant provide on the form?","Question",{"text":109,"@type":110},"The participant must provide printed name, address, city/state/zip, last four digits of SS#, current email, title, daytime phone, loan provider name and account number, plus the participant signature and date.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What must the employer certify regarding the employee’s work?",{"text":114,"@type":110},"The employer must confirm the named participant completed continuous employment in good standing during the service period (1/1/2020 through 3/31/2020), including paid leave, and report the average hours per week and average weeks per calendar quarter.",{"name":116,"@type":107,"acceptedAnswer":117},"How are electronic signatures treated and how should the form be submitted?",{"text":118,"@type":110},"Electronic signatures are legally equivalent to handwritten signatures and do not require third-party certification to be enforceable. 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By signing this Employment Verification Form electronically, you acknowledge and agree your electronic signature is the legal equivalent of your manual/handwritten signature on this form. By using any device, means or action, you consent to the legally binding terms and conditions of this Employment Verification Form. You further agree that your signature on this document (hereafter referred to as your \"E-Signature\") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and the New Mexico Higher Education, Financial Aid Office. Your signature certifies that you certify all information on the form is true to the best of your knowledge.  \nParticipant Signature Date  \n*Loan provider cannot be changed without prior written 60 day notification to the department.  \nEMPLOYER:  \nEmployer/Institution/Facility:    Name of Person Completing Form:   Title of Person Completing Form:    \nEmployer Email Address:   Employer Phone Number:    \nName of Employee:    \nI   certify that the named participant above has completed continuous employment in good standing for the period: 1/1/2020  \nthru 3/31/2020  for an average of   hours per week and an average of 13 weeks per calendar quarter, including paid leave, or any combination of hours and weeks, as further specified in the Loan Repayment Participation Agreement executed with the Higher Education Department.  \nBy signing this Employment Verification Form electronically. You acknowledge and agree your electronic signature is the legal equivalent of your manual/handwritten signature on this form. By using any device, means or action, you consent to the legally binding terms and conditions of this Employment Verification Form. You further agree that your signature on this document (hereafter referred to as your \"E-Signature\") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and the New Mexico Higher Education, Financial Aid Office. Your signature certifies that you certify all information on the form as true to the best of your knowledge.  \nApproved Employer Signature Date  \nNOTARY:  This Section is not required at the present time due to COVID-19. The notary section will continue in the future.  \nPlease complete in full, scan and email to [fin.aid@state. nm. us](fin.aid@state. nm. us) on or before April 30, 2020. Employment Verification Forms received after April 30, 2020 will not be accepted. Forms submitted prior to the dates indicated above will not be accepted. Faxed and mailed copies will NOT be accepted. For questions please contact the New Mexico Higher Education Department at [fin.aid@state. nm. us](fin.aid@state. nm. us).","cbCaimdNVHmpHPya","https://ap.wps.com/l/cbCaimdNVHmpHPya","pdf",100823,"English","# Employment Verification Form\n## Participant Information\n## Employer Certification\n## Electronic Signature and Submission Rules\n## Notary Section","[{\"question\":\"What information must the participant provide on the form?\",\"answer\":\"The participant must provide printed name, address, city/state/zip, last four digits of SS#, current email, title, daytime phone, loan provider name and account number, plus the participant signature and date.\"},{\"question\":\"What must the employer certify regarding the employee’s work?\",\"answer\":\"The employer must confirm the named participant completed continuous employment in good standing during the service period (1/1/2020 through 3/31/2020), including paid leave, and report the average hours per week and average weeks per calendar quarter.\"},{\"question\":\"How are electronic signatures treated and how should the form be submitted?\",\"answer\":\"Electronic signatures are legally equivalent to handwritten signatures and do not require third-party certification to be enforceable. Completed forms must be scanned and emailed on or before April 30, 2020; faxed or mailed copies are not accepted.\"}]","Public Service Law Loan Repayment Program - Employment Verification Form | PDF",1789489280]