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Enter the full legal name of this person as it would appear on a legal document.
Enter the full legal name of this person as it would appear on a legal document.
A Background Check Authorization and Consent Form is the legally required written disclosure and authorization that employers, landlords, and other requesting parties must obtain from an individual before conducting a consumer background investigation — including criminal history, credit report, employment verification, education verification, and reference checks. Under the Fair Credit Reporting Act (FCRA), 15 U.S.C. § 1681 et seq., employers and landlords must: (1) provide a clear and conspicuous written disclosure that a background check will be conducted; (2) obtain written authorization; and (3) provide pre-adverse action and adverse action notices if the check results in denial. This form is FCRA-compliant as a standalone disclosure. Fill out this free background check authorization and consent template online, e-sign it digitally, and download a legally valid PDF. no account or lawyer needed. Sections: Parties, Consent Scope.
NOTICE REQUIRED BY THE FAIR CREDIT REPORTING ACT (15 U.S.C. § 1681b(b)(2)) This document is a standalone disclosure that a consumer report or investigative consumer report may be obtained about you in connection with your application for the purpose described below.
______________, located at ______________ (the "Requesting Party"), may obtain one or more consumer reports about you — ______________ — for ______________ purposes.
A "consumer report" may include information about your character, general reputation, personal characteristics, and mode of living, obtained through personal interviews with your neighbors, friends, associates, former employers, or others, or through automated databases. A consumer report may also include criminal background, sex offender registry, credit history, employment history, education history, and driving record information.
The background investigation will be conducted by: a licensed consumer reporting agency to be identified upon request. The types of information that may be investigated include: ______________.
The Fair Credit Reporting Act (15 U.S.C. § 1681 et seq.) gives you specific rights in connection with this process: (a) You have the right to know the nature and scope of any investigative consumer report requested about you, if any, by written request within a reasonable time; (b) If the Requesting Party decides not to take the action you applied for based on information in a consumer report, you will receive a copy of the report and a summary of your rights under the FCRA before the adverse action is taken; (c) After the adverse action is taken, you will receive a notice of the adverse action and information about the consumer reporting agency that provided the report; (d) You have the right to dispute any information in the report that is inaccurate or incomplete, directly with the consumer reporting agency; (e) Consumer reports may not include most negative information more than 7 years old (10 years for bankruptcy).
I, the undersigned, having read and understood this disclosure, hereby voluntarily authorize ______________ and its authorized agents to obtain one or more consumer reports about me from any consumer reporting agency, for the purpose of ______________.
Subject Full Legal Name: ______________ Date of Birth: ______________ Current Address: ______________ Last 4 of SSN: xxxx
I understand that: (a) this authorization is voluntary but refusal to sign may result in denial of my application; (b) information from my background report may be used in making decisions about my application; (c) I have the right to request disclosure of any investigative consumer report; and (d) I may obtain a free copy of my report from the consumer reporting agency and dispute any inaccurate information.
I certify that all information I have provided in my application is true and complete, and I authorize the Requesting Party to verify this information through the background check authorized herein.
Subject's Signature: ______________________________ ______________ Date: ____________________