Pennsylvania Employee Verification of Employment Self-Employment Or Change In Physical Condition is a form provided by the Pennsylvania Department of Labor and Industry that is used to verify employment, self-employment, or changes in physical condition of employees in the state. It is required to be completed by employers when verifying an employee's work history, self-employment status, or changes in physical condition due to illness or injury. The form contains information about the employee's work history, job duties, and wages earned. It is important to note that the form must be completed by the employer, not the employee. The two main types of Pennsylvania Employee Verification of Employment Self-Employment Or Change In Physical Condition are Verification of Employment and Verification of Self-Employment or Change in Physical Condition. The Verification of Employment form is used to verify an employee's work history and is required for all employers in Pennsylvania. The Verification of Self-Employment or Change in Physical Condition form is used to verify an employee's self-employment status or any changes in physical condition due to illness or injury. This form is required for employers who do not offer health insurance coverage or who have employees with a pre-existing medical condition.