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Information Consent Form

    REQUEST, AUTHORIZATION, CONSENT AND RELEASE FOR BACKGROUND INFORMATION

    I, understand that in conjunction with my application for employment, will use the service of an outside agency to research and verify the information I have provided on my application for employment, including my personal background, character, professional standing, work history and qualifications. Said agency will provide a report to . uses Private Investigator National as an agent to perform background verifications.

    Private Investigator National will utilize various sources of information it deems appropriate, including, but not limited to, Department of Motor Vehicles records, credit reporting agencies, criminal conviction records, current and former employers, military records, school records, professional and personal references. I request, authorize and consent to the release and disclosure of any and all information, including, but not limited to, the above to and Private Investigator National. I unconditionally release and hold harmless and and any named or unnamed corporation, company, custodian or records, or informant from any and all liability resulting from furnishing information about me.

    I request, authorize and consent to the procurement of an Investigative Consumer Report, and understand that it may contain information about my background, mode of living, character and personal reputation. This authorization, in original or copy form, shall be valid for one year from the date indicated next to my signature. According to the Fair Credit Reporting Act, I will be notified by if employment is denied because of information obtained from said Information Provider. Upon written request within 60 days, I will be given a full and accurate disclosure as to the nature and substance of all information provided to . I further understand that when requesting a copy of the report, proper identification will be required, and I should direct my request to: Private Investigator National

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    PLEASE PROVIDE ALL RESIDENTIAL ADDRESSES FOR THE PAST 7 YEARS

    Current:
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    RELEASE FORM FOR CONSUMER REPORTS

    In connection with my application for employment (including contract for services), I understand that consumer reports or investigative reports which may contain public record information, may be requested or made on me, including consumer credit, criminal records, driving record, education, prior employer verification, workers’ compensation claims, and others. These reports will include experience, along with reasons for termination of past employment. Further, I understand that you will be requesting information from various federal, state, local, and other agencies, which contain my past activities.

    I hereby authorize, without reservation, any party or agency contracted by this employer to furnish the above mentioned information. I further authorize ongoing procurement of the above-mentioned reports at any time during my employment (or contract).

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    The accuracy of data submitted by the requestor will directly determine the accuracy of results obtained. While the information we furnish is from reliable sources, its accuracy is not guaranteed. Use of available data may be affected by the Fair Credit Reporting Act ("FCRA"), the Fair Debt Collection Practices Act, the Graham-Leach-Bliley Act, and/or federal and state privacy laws. Our investigative reports are prepared by 1 Private Investigator, at the specific instance and request of our clients. Clients agree by accepting our reports that reports and information received from 1 Private Investigator, are strictly confidential, and are intended solely for our client's sole private, exclusive use. Any other use, communication, publication or reproduction of our reports, or any portion thereof, without the written consent of 1 Private Investigator, is strictly forbidden. By ordering and accepting delivery of this report, our client agrees to indemnify 1 Private Investigator, against any damages or claims resulting from any such unauthorized use. Our reports are not a recommendation, endorsement or approval of any kind, with respect to any specific transaction, decision or evaluation, and should not be relied on as such under any circumstances. All information contained in our reports is confidential and proprietary, i.e., our work product, hence our property as provider of our reports.

    No warranty or guarantee of a particular outcome, result or recovery of information is promised or implied by 1 Private Investigator, or by the materials presented on 1PrivateInvestigator.com. 1 Private Investigator agrees to work to achieve the goals of any client work or engagement with aggressive, professional methods, within the bounds of the law.