The background check authorization form is permission by an individual to another, a company, employer or other entities to investigate his or her past records and incidents or accidents on record.  This is a voluntary form and the person may assent to or deny the party permission to conduct the check.

BACKGROUND CHECK AUTHORIZATION FORM

(This form is to be filled by the individual whose background is to be checked)

First Name: ___________________ Middle Name: _____________ Last Name __________

Other name(s) that may have been used in the past _______________________________

Gender __________ Date of Birth: ________________ Place of birth _________________

State / province __________________ Country ________________________________

Social Security Number: _________________________ Nationality ___________________

Phone: _________________________________ Email: ____________________________

Address: ________________________________ Town: ____________________________

Zip: ______________________________  State: ____________________________

Do you have any criminal convictions? __________

If YES, briefly explain the nature _______________________________________________

_________________________________________________________________________

Country, state and county that the conviction occurred ______________ Date __________

I hereby give permission to ____________________________________ to run a background check on the information provided in this form.

Signature _____________________________ Date _____________________________

 Print This Post

Related posts:

1. Work Authorization Form This is a document that is filled by a person...
2. Police check Application Form A police check application form is designed to help police...
3. Direct deposit authorization form This form is often used by companies giving their banks...
4. Credit Authorization Form A credit card authorization form is filled by a credit...
5. Credit Card Authorization Form Template Credit Card Authorization Form Template Below is a credit card...

Related posts brought to you by Yet Another Related Posts Plugin.