Free Background Check Consent Form Template
Background Check Consent Form
Please complete this form to authorize a background check.
Personal Information
Name
Date of Birth
Social Security Number
Driver's License Number
Issuing State
Address
Phone number
Previous Addresses (Last 7 Years)
Previous Addresses 1
Years Resided
Previous Addresses 2
Years Resided
Employment History (Last 5 Years)
Employer Name |
Position |
Employment Date |
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Education Information
Highest Level of Education
School Name
Degree/Certification
Year of Graduation
Type of Background Check Authorized
Please check all that apply
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Criminal Record Check
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Employment Verification
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Education Verification
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Credit Report
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Driving Record
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Notice of Rights
I understand that:
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This background check will be conducted in compliance with applicable laws.
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I have the right to request a copy of the report and to dispute any inaccuracies.
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This authorization is valid for
months from the date of signature.
Consent Authorization
I hereby authorize [Your Company Name] and its agents to conduct the background checks as specified above. I release all parties from any liability resulting from this investigation.
Name:
Date:
Consent Form Templates @ Template.net
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