NOTE: THIS PAGE CONTAINS SENSITIVE INFORMATION TO BE KEPT IN SECURE FILES SEPARATE FROM YOUR PERSONNEL RECORDS

Notification and Authorization for Background Investigation

I hereby authorize Rawhide Ranch, hereafter referred to as "The Company," and the Arrin System as directed by The Company, to obtain a consumer report and/or an investigative consumer report for employment purposes. I understand this report may include inquiries regarding my educational background; work history, personal financial status and credit history; court records, including criminal as permitted by law; driving history; workers compensation history; and references obtained from professional and personal associates. I further understand and agree that a consumer report may be obtained at any time, and any number of times, as The Company in its sole discretion determines is necessary before, during, or after my employment.

Medical and workers' compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA), and/or any other applicable state laws. The Fair Credit Reporting Act gives you specific rights. If we rely on the report for any adverse action, before taking the adverse action we will give you a pre-adverse action disclosure that includes a copy of the report.

By electronically submitting this form, I hereby authorize all previous employers, educational institutions, consumer reporting agencies and other persons or entities having information about me to provide such information to The Company or other entity, including the Arrin System, that obtains information for The Company. I further fully release The Company, its employees, officers, directors, agent, successors and assigns, and all other parties involved in this background investigation including but not limited to the Arrin System and its employees, officers, directors and agents, and including all consumer reporting agencies, credit agencies, and those companies or individuals who provide information to the Arrin System, or The Company concerning me, from any claims or actions for any liability whatsoever related to the process or results of the background investigation.

 

Full name:    
Last First Middle
     
Home Address:    
/
Street City State/Zip
     
Social Security Number :
Driver's License Number: State:

For identification purpose only, please provide ONLY month/day of birth:
/
Month/Day
Other names/social security numbers you have used: