Sample Forms

Sample Forms

PLEASE NOTE:  These documents are provided for informational purposes only and do not constitute legal advice. We strongly recommend consulting with an attorney to review these sample documents and the accompanying state notices to ensure compliance with applicable state laws regarding background screening.

Sample Disclosure and Authorization Notice (For Employees)

Sample Disclosure and Authorization Notice (For Independent Contractors)

Sample Disclosure and Authorization Notice (For Volunteer)

Sample Disclosure and Authorization Notice (For Business Associate)

 

General

Background Checks: What Employers Need to Know

Authorization for SSN Verification (SSA-89) English

Authorization for SSN Verification (SSA-89) Spanish

PSP Authorization

Minor Parental Consent

Summary of Rights Under the FCRA

Summary of Rights Under the FCRA – Spanish

Obligations of Users Under the FCRA

 

Credit Report Application Paperwork

Credit Report Information

Landlord Forms

The following two documents are for use by landlords requesting background screenings.

Disclosure and Authorization Form for Tenants

Employment & Tenancy Verification

State-Specific Forms

The following documents are pertinent only in certain states. Your account representative will notify you if any of these documents are required.

Georgia Statewide Criminal History Release

New Hampshire MVR Release

NY Correction Law 23-A

NYC Fair Chance Act Notice (Adverse Action)

Pennsylvania GED Request Form

Affidavit of Intended Use for Pennsylvania MVR

Texas Child Abuse Registry Release

Washington State Disclosure (for employment and tenant screening purposes)

Washington State MVR Release of Interest

Verification Forms

The following forms should be filled out by the applicant when requesting the applicable verification. Your account representative can help determine which of these forms are necessary.

Education Verification Form

Employment Verification Form

DOT Safety Performance History Records Request ( For DOT Employment Verifications )

Professional License Verification Form