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In connection with
my application with , I understand that investigative background inquiries may be made on
myself including but not limited to previous employer verifications, education
verifications, consumer credit reports, criminal convictions or history, motor
vehicle reports, Social Security trace reports, and other reports. These
reports may include reasons for termination of past employment from previous
employers. Further, I understand with
and/or its
authorized agent may be requesting information from various Federal, State, and
other agencies which maintain records concerning my past activities relating to
my driving, credit, criminal, civil, and other experiences, and may include
information involving me in the files of insurance companies.
Pursuant to California
Civil Code, a report will be mailed to you free of
charge.
Note: Before signing this document,
read it thoroughly and complete all requested information. If not applicable,
indicate by drawing a line through the section. I have read and understand the
above notice.
I am also entitled to receive
a copy if my background report. I hereby:
Request
a copy of my background report.
Waive
my right to receive a copy of my background report.
I hereby authorize and
release, without reservation, Selection Management (Consumer Reporting
Agency) and , and their employees or assigns from any and all claims, actions,
suits, agreements, or liabilities arising from the release of said information
to .
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