I am sorry, here is a more specific example:
AUTHORIZATION FOR BACKGROUND CHECK
Please read and sign this form. Your written authorization is necessary for the background check.
I, (NAME), hereby authorize (NAME) to investigate my background, including but not limited to criminal, civil, credit, utilizing my name, date of birth, and Social Security Number. I understand that (NAME) may utilize an outside company to assist them in this regard. I specifically authorize such an investigation by NAME and any entities of the NAME's choice for this purpose. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application will be stopped.
I understand that the scope of the report may include, but is not limited to the following areas: verification of social security number; credit reports, 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.
Date of Birth:
Social Security Number:
Signature of Date
California, Minnesota and Oklahoma residents: I wish to receive a copy of the report: YES / NO.
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