FCRA Notice, Disclaimer, and Signature
The company intends to obtain a drug screen and/or consumer report within the meaning of the Fair Credit Reporting Act
(FCRA) regarding you during the application process and/or during the course of your employment with the company.
I understand that the company or a third party, consumer reporting agency acting on its behalf may conduct an investigation to
obtain information about my background including, but not limited to: information about my personal character, previous
employment, general reputation, educational background, credit history, driving record, and/or criminal history. I authorize all
persons; corporations; credit agencies; educational institutions; law enforcement agencies; city, state, county, and federal
courts; and military services to release any such information about my background. Moreover, I authorize any person or entity
conducting the investigation or compiling and/or processing such information to furnish the company, and/or third party acting
on behalf of the company’s behalf, with such information. I release anyone providing such background information and the
company from any and all liability and damages whatsoever in connection with collecting, furnishing, obtaining, or using such
information. I further understand that the company will provide me with written notice if ay adverse employment action is to be
taken based in whole or in part on information contained in a consumer report within the meaning of the FCRA.
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may
result in my release.
