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Employment Background Consent

This document is a consent form for an applicant to authorize a company to conduct a background check. It allows the company to investigate the applicant's background, references, employment history, education, criminal records and other information. It also consents to the company verifying all information provided on the application. The applicant agrees to sign any additional documents needed for the background check and releases any entity from liability for providing information to the company.

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Ysabel Javier
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215 views1 page

Employment Background Consent

This document is a consent form for an applicant to authorize a company to conduct a background check. It allows the company to investigate the applicant's background, references, employment history, education, criminal records and other information. It also consents to the company verifying all information provided on the application. The applicant agrees to sign any additional documents needed for the background check and releases any entity from liability for providing information to the company.

Uploaded by

Ysabel Javier
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Consent to Background Check

[Insert applicant name]


[Insert applicant address]

I, [Insert applicant name] hereby authorize [Insert company name] (the “Company”) of [Insert
company address] and/or its agents to make investigation of my background, references,
character, past employment, consumer reports, education, and criminal history record information
which may be in any state or local files, including those maintained by both public and private
organizations, and all public records, for the purpose of confirming the information contained on
my application and/or obtaining other information which may be material to my qualifications for
employment. A telephone facsimile (fax) or xerographic copy of this consent shall be considered
as valid as the original consent.

I hereby consent to the Company’s verification of all the information I have provided on my
application form. I also agree to execute as a condition of employment or a condition of continued
employment any additional written authorization necessary for the Company to obtain access to
and copies of records pertaining to this information. I also hereby authorize the Company’s access
to any medical histories or records pertaining to me (and any other individuals who due to my
employment may be covered by any Company medical or other insurance program). With regard
to the foregoing disclosures, I hereby agree to release any person, company, or other entity from
any and all causes of action that otherwise might arise from supplying the Company with
information it may request pursuant to this release. I understand that any false answers or
statements, or misrepresentations by omission, made by me on this application or any related
document, will be sufficient for rejection of my application or for my immediate discharge should
such falsifications or misrepresentations be discovered after I am employed.

Applicant:

_____________________________________
_________________

_____________________________________
Dated: _________________

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