BACKGROUND AND CREDIT INVESTIGATIONS
with regards to my seeking employment is true and complete. I understand that any false statement(s) made in this regard will result in my not being offered employment or in termination of my employment. I further understand that this authorization is not and is not intended to be a contract of employment, nor does this obligate ______________________________________________________
in any way if it determines not to employ/train me.
I hereby authorize U. S. UNCOVER or any of its agents to make an inquiry into my personal history, education, employment, credit records, driving records, and criminal history through any investigative or credit agencies or bureaus.
U. S. UNCOVER may request such reports for any purpose it deems appropriate, including, but not limited to, inquiries permitted by law.
Dated: __________________________
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Name of applicant (last, first, mi)
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Signature of applicant
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Social security number
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________________________ Sign for your Agency
Drivers license number/state
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________________________ Print Your Name Please
Date of birth
Fax completed form to 1 888 867-4202