Background Check Consent Form

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Authorization

I, {{employee_name}}, hereby authorize {{company_name}} and its designated agents to obtain and verify information regarding my background as part of the pre-employment process.

I understand this may include criminal history, employment history, education, credit (where lawful), and reference checks.

Information Released

• Full legal name, prior names, and date of birth
• Current and previous addresses for the past 7 years
• Government-issued identification details
• Employment, education, and professional licensing records

Acknowledgement

I confirm the information I have provided is accurate. I understand any false statements may result in disqualification or termination.