Hr 99 Form PDF Details

Navigating the requirements for a position with the Texas Department of Public Safety involves more than just showcasing one's capabilities; it entails a comprehensive process that includes the HR-99 form. This document is a pivotal piece in the application journey, intertwining various aspects of legal agreements, including the assumption of risks, a covenant not to sue, as well as the authorization for the release of personal information and agreement of assignment. Specifically, candidates willing to undergo physical agility testing and firearms qualification as part of establishing their suitability for a role must acknowledge and assume all related risks of injury. The form meticulously outlines that each test has been clearly described to the applicant, ensuring a thorough understanding of the expectations and inherent risks. Furthermore, it acts as a consent form allowing a thorough review of the applicant's personal records by authorized agents of the department – spanning educational, financial, and employment histories, among others. This exhaustive background check aims to assess a candidate's overall suitability for employment with the department. Moreover, the HR-99 form embodies a legal dimension where the signer agrees not to pursue any legal action against the State of Texas or its employees for injuries sustained during the testing process. Additionally, it covers the agreement that personnel can be assigned or transferred as needed by the department, emphasizing flexibility and adaptability as key components of the commitment to serve. With a clause validating photocopies of the signature as original, the HR-99 form encapsulates the breadth of commitment and consent required from applicants to the Texas Department of Public Safety, symbolizing a significant step towards potential employment.

QuestionAnswer
Form NameHr 99 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameseditable baby shower templates, 99 form, create and print projects, hr99

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THE STATE OF TEXAS:

Assumption of Risks, Covenant Not To Sue,

 

 

Authorization for Release of Personal

COUNTY OF TRAVIS:

Information, and Agreement of Assignment

KNOW ALL MEN BY THESE PRESENTS:

 

 

That I, the undersigned

 

 

for and in

consideration of being extended the opportunity of undergoing physical agility testing and firearms qualification, when required, for the purpose of establishing my suitability for a position with the Texas Department of Public Safety hereby do assume all risks of injury to my person arising out of or in any way incident to the above-mentioned physical agility tests and firearms qualification; that each of the agility tests and firearms qualification have been described and explained to me and I understand clearly what I will be called upon to do, and with this knowledge I assume whatever risk such test or tests may entail to or accrue to my person; and that I, the undersigned, for the above-mentioned consideration have covenanted and hereby do covenant never to sue or bring any legal or equitable action in any court whatsoever against the State of Texas or any officer or employee of the State of Texas for any such injury.

Further, I,do hereby authorize a review of and full disclosure of all

records concerning myself to any duly authorized agent of the Texas Department of Public Safety, whether the said records are of a public, private, or confidential nature.

The intent of this authorization is to give my consent for full and complete disclosure of the records of educational institutions; financial or credit institutions, including records of loans; employment and preemployment records, including background reports, efficiency ratings, complaints or grievances filed by or against me; and the records and recollections of attorneys at law, or other counsel, whether representing me or another person in any case, either criminal or civil, in which I presently have, or have had an interest.

I understand that any information obtained by a personal history background investigation which is developed directly or indirectly, in whole or in part, upon this release authorization will be considered in determining my suitability for employment by the Texas Department of Public Safety. I also certify that any person(s) who may furnish such information concerning me shall not be held legally accountable for giving this information in any way; and I do hereby release said person(s) from any and all liability which may be incurred as a result of furnishing such information.

I further agree that I may be assigned to any duty assignment upon initial employment or reinstatement or may be transferred as the needs of the Department may require while employed with the Texas Depart- ment of Public Safety.

A photocopy of this release form will be valid as an original thereof, even though the said photocopy does not contain an original writing of my signature.

Signature (include maiden name)

 

Date of Birth

 

 

 

Address

 

Last Four SSN

 

 

 

City, State, Zip

 

Phone #

 

 

 

Witness

 

Witness Signature

HR-99 (Rev 05/11)

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