Cleaning Services Employee Consent and Authorization Form

I. Personal Information

A. Employee Details

Full Name:
Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
Date of Birth:
Social Security Number:

II. Consent and Authorization

A. Background Check Authorization

I hereby authorize [Your Company Name] to conduct a background check, including but not limited to criminal history, employment verification, and education verification.

• Yes, I authorize.

• No, I do not authorize.

B. Drug Testing Consent

I agree to undergo drug testing as part of my employment with [Your Company Name].

• Yes, I consent.

• No, I do not consent.

C. Consent for Driving Record Check (if applicable)

I authorize [Your Company Name] to obtain and review my driving record for the purpose of my employment.

• Yes, I authorize.

• No, I do not authorize.

D. Consent for Reference Checks

I authorize [Your Company Name] to contact my previous employers and references listed on my resume or application.

• Yes, I authorize.

• No, I do not authorize.

III. Signature

I, [Employee Full Name], hereby acknowledge that I have read and understood the above consent and authorization statements and voluntarily consent to them.

Signature:

Date:                               

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