This is to inform you that as part of our procedure for processing your employment application, the hiring company may use Information Resources, an independent outside agency. This agent may make an investigative report in which information is obtained through personal interviews with family members, business associates, financial sources, credit reporting agencies, friends, neighbors, educational institutions, driving records or abstract or motor vehicle reports from department of motor vehicles, courts, law enforcement agencies or other third parties with whom you are acquainted. This information will include inquiries as to your characteristics or mode of living, whichever is applicable.
By signing the document below you are releasing any and all persons, companies or others from any liability whatsoever for this purpose. You have the right to make a written request, within a reasonable period of time, for complete disclosure of additional information concerning the nature and scope of the investigation.
Residents of California, Minnesota and Oklahoma only: If a credit report is part of the background screening process, you have the right to receive a copy of it. Please mark the appropriate box. Louisiana - American Driving Records will be the supplier of Louisiana driving Records.
I would like to receive a copy of my credit report: *YesNo
(applies only if the hiring company requests this service as part of your pre-employment screening)
Voluntary Information(For Identification Purposes Only):
* CCS (parent company of Qualtrax, Inc.) may contact you to obtain your Social Security Number before processing a background or credit check.
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