Criminal History Authorization Form
Criminal History Authorization Form
Please fill out this form to authorize a criminal history check.
Personal Information
Name
Date of Birth
Address
Phone number
Authorization
I authorize the release of any and all criminal history information about me, including but not limited to records of arrests, charges, and convictions, to [Your Company Name] for the purpose of conducting a criminal history check. This information will be used exclusively to evaluate my eligibility for employment with the company.
By signing this form, I release any and all individuals, agencies, and organizations from any legal responsibility for providing such information. I understand that this authorization is valid throughout the hiring process and for any future employment with [Your Company Name].
Name:
Date:
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