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Background Check Notice to Applicant and Authorization for Consumer Report

The purpose of this notice is to inform you that we will be conducting a pre-employment background investigation in conjunction with your application for employment with our company. This background investigation may involve verifying or reviewing any of the following relevant information:

  • Social Security Number
  • DMV Record
  • Criminal Convictions
  • Prior Employment History
  • Educational History

As part of this investigation, the Company will obtain a consumer report from, The Clearinghouse, for employment purposes. The Company may use information in the consumer report for decisions related to your employment. Accuracy of information is important for this process; therefore, if any information is inaccurate or falsified, it will be grounds for immediate withdrawal of consideration for employment with us, or immediate termination if already employed. A copy of the report will be provided to you, free of charge, if you wish.

By typing your full name below, you authorize the Company to obtain this consumer report.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to client assignment, I understand that false or misleading information in my application may result in my release.

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