Background Check Authorization Form – Fill Out and Use This PDF

A Background Check Authorization Form is a legally binding agreement to allow the organization, person or entity to conduct background checks. A signed form should be kept in your file for future reference.

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Background Check Authorization Form PDF Details

A background check authorization form can be a great way to make sure your company is protected from the possibility of hiring a convicted felon. The forms are usually used by employers or organizations who need to conduct background checks on potential employees, volunteers, and other people in key positions. Background checks might also be required for certain types of job opportunities such as working with children or vulnerable adults. The most common type of background check authorization form asks that you authorize an organization to do a criminal records search using your personal information. This may include full name, date of birth, social security number and address history among other things.

This general report will allow you to establish just how long it will take you to complete background check authorization form, the number of pages it's got, and some other unique details about the PDF.

Question	Answer
Form Name	Background Check Authorization Form
Form Length	1 pages
Fillable?	Yes
Fillable fields	22
Avg. time to fill out	4 min 39 sec
Other names	keladams, verification, california background check form, residences

12

Form Preview Example

CONFIDENTIAL

Background Check Authorization

Print Name:

(First)		(Middle)		(Last)
Former Name(s) and Dates Used:
Current Address Since:
	(Mo/Yr)		(Street)		(City)		(Zip/State)
Previous Address From:
	(Mo/Yr)		(Street)		(City)		(Zip/State)
Previous Address From:
	(Mo/Yr)		(Street)		(City)		(Zip/State)
						Date of
Social Security Number:						Birth:

Telephone Number:

Drivers License Number/State:

The information contained in this application is correct to the best of my knowledge. I hereby authorize Hope Lutheran and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.

I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Hope Lutheran or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources.

Signature: ______________________________________ Date: ______________

**Hope Lutheran and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information, including, but not limited to, addresses, social security numbers, and dates of birth.

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