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Free form template · Word

Address Verification Form

An address verification form is filled by a field verifier or HR to confirm that an employee actually lives at the address declared, recording the residence type, period of stay and who confirmed it. It is part of background verification for many roles.

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  • Made for India
  • 7 fill-in fields highlighted
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Preview of the form

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[Company Logo][Company Name]

ADDRESS VERIFICATION FORM

Case / Ref. No.:
[Reference Number]
Employee Name:
[Employee Name]
Employee ID:
[Employee ID]
Address Type:
Current / Permanent

A. Address Declared by Employee

Full Address with Landmark and PIN Code
Stay Since (MM/YYYY)
Employee Mobile Number

B. Verification Details

Mode (Physical visit / Digital / Postal)
Date and Time of Verification
Verifier Name and Agency

C. Findings

Address found and correct (Yes / No)
Residence Type (Owned / Rented / PG / Hostel / Company accommodation)
Period of stay confirmed
Respondent Name
Respondent Relationship to Employee
Respondent Contact (optional)
Landmark / Photo reference taken (Yes / No)

D. Verifier Observations

[Factual observations only, e.g. house locked, confirmed by neighbour, name plate seen]

E. Outcome

  • Verified – positive
  • Verified – discrepancy (details above)
  • Unable to verify – reason recorded

Declaration by Verifier

I confirm that I personally carried out this verification on the date stated and that the findings recorded are accurate.

Verifier
[Name]
Date: [Date]
Reviewed by
[HR Name]
Date: [Date]

What this template includes

  • Address declared by the employee
  • Visit or digital check details (date, time, mode)
  • Residence type and ownership
  • Period of stay confirmed
  • Respondent name and relationship
  • Verifier observations and outcome

When to use it

  • During background verification of new joiners
  • For roles handling cash, assets or sensitive data
  • When a client contract requires address checks for deployed staff
  • When mail or documents to the employee are returned undelivered

How to customise this template

  1. 1Add a geotagged photo field for digital checks
  2. 2Split current and permanent address checks if both are verified
  3. 3Add your BGV vendor's case ID
  4. 4Define who reviews negative outcomes

HR tips

  • Get the employee's BGV consent before any visit
  • Avoid discussing the employee's job or salary with neighbours
  • Record facts only; avoid opinions about the family
  • Recheck if the respondent was not a family member

Collect only what is needed, use it for employment and benefit purposes, and store it securely. Review the form against applicable laws and your data-protection practices.

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Frequently asked questions

How is employee address verification done?+

A verifier visits the address or uses a digital method such as a geotagged check, confirms the stay with a respondent and records the result.

What if the employee has moved?+

Record it, ask the employee for the new address and proof, and verify the new address.

Is consent needed for address verification?+

Yes, obtain the employee's written consent as part of the background verification process.