This will bring up a data entry prompt. 3. Enter the project address and your contact information to be filled out on each sheet of the page.Include your contact information in the top right hand corner. Put your name in bold and or larger font to let employers immediately know who you are. The Request for the Written Statement MUST be completed, notarized and sent to the Dallas. Complete this form if you wish to leave a message. Please be as specific as possible when commenting about addresses, times, and details. Need to provide proof of employment status? Use this sample employment verification letter to create your own. These sample letters can be used in various circumstances you may encounter that require you to communicate with insurance companies.