BACKGROUND CHECK AUTHORIZATION FORM
Background Verification ProcessSafety and security commitment. To uphold the safety and security of our clients, staff, and property, , having its registered place of business at (the "Company"), will procure a "consumer report" or an "investigative consumer report" (the "Report") in relation to your job application.
Ongoing employment checks. If you join or are currently employed by the Company, we may obtain additional background reports for ongoing employment considerations.
Details of Background Reporting
Report preparation. The designated Background Check Company will compile your background Report for .
Contact information. You can reach the Background Check Company at , via or at .
Report contents. The background Report may cover your personal demeanor, reputation, characteristics, lifestyle, and financial status.
Potential information types. Information that may be gathered includes but is not limited to:
Credit history checks. Credit history will be checked only when legally permissible and when it is significantly relevant to your job responsibilities.
Information sources. Information may be gathered from both public and private records, including interviews with:
Common investigation types. A typical report might examine your educational and/or employment background carried out by the Background Check Company or another external agency.
Further inquiries. You can inquire more about the nature and scope of any report by contacting at .
GRANTING AUTHORIZATION FOR BACKGROUND CHECKSConsent for Background Verification
Authorization grant. Having thoroughly reviewed this Background Check Authorization Form, I give permission for the Company to obtain my background Report, including any investigative consumer reports.
Ongoing consent. I acknowledge that the Company may use this consent to procure additional background reports, including investigative consumer reports, during my tenure without requiring my renewed consent, as permitted by law.
Permission for information disclosure. I authorize the following entities to disclose to the Background Check Company and its representatives all relevant information about me, including but not limited to:
Workers' compensation records. Information related to workers' compensation will be requested in accordance with the Americans with Disabilities Act and relevant laws; only post a conditional job offer.
The Background Check Company and its agents may receive information including, but not limited to:
Consent for other reporting agencies. I consent to obtaining background reports, including investigative consumer reports, from agencies other than the Background Check Company as legally allowed, without seeking my authorization anew.
Validity of document copies. I agree that a copied version of this form is as valid as the original.
Accuracy of information. I affirm that all the personal information I have provided is accurate and complete.
Compliance with laws and regulations. The background check will be conducted under all federal, state, and local laws, including, without limitation, anti-discrimination laws, the Fair Credit Reporting Act (FCRA), and privacy laws.
I agree that the Company may rely on this Authorization Form to order Report(s) from companies other than the Background Check Company without asking me for my authorization again, as permitted by law.
Full name:
Maiden/other names used:
Signature: ___________________________
Date: