I acknowledge receipt of the separate documents entitled DISCLOSURE REGARDING BACKGROUND INVESTIGATION, A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and the DISCLOSURE FOR INVESTIGATIVE CONSUMER REPORT and certify that I have read and understand those documents.
In connection with your employment application with Example Company (the “Company”), this notice is intended to inform you that a consumer report(s) (also known as “a background check”) may be obtained on you from a consumer reporting agency for employment purposes. The reports may contain information about you relating to your criminal information or history, driving and/or motor vehicle records, education and/or employment history, social media, or other background checks, inclusive of but not necessarily limited to records and information from any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company. I agree that a facsimile ("fax"), electronic or photographic copy of this Authorization shall be as valid as the original.
The report(s) is being prepared by our background screening vendor, KarmaCheck, Inc. and its associated partners or vendors.
The scope of this notice and below authorization is not limited to the present and, if you are hired, will continue throughout the course of your employment and allow the Company to conduct future screenings for retention, promotion or reassignment, as permitted by law and unless revoked by you in writing.
AUTHORIZATION
By signing below, you authorize the obtaining of a consumer report by the Company at any time after receipt of this authorization and throughout the course of your employment, as described above.