Example Pre-Employment Screening Authorization To Check Previous Employer References

1. This form should be put on your company’s letterhead.

2. Get a separate form signed for each employer you intend to check with.

Employers are much more likely to release information when they have a form signed by the applicant specifically authorizing them to do so.

3. Get another entirely separate form signed authorizing a background check.


(Please read the following statements, sign below, and return to the Human Resources office.)

(Applicant’s name below)

I, ___________________________, hereby authorize my prior employer, ________________________________to release any and all

information relating to my employment with them to ___________________________________ (your company’s name).
I understand that any information released by my prior employer will be held in strictest confidence,
That it will be viewed only by those involved in the hiring decision, and that neither I nor anyone else not so involved will not have the right to see the information.

__________________________________ __________________

Applicants Signature Date


Print Employee’s Name


Our Automated Employment Screening provides an applicant controlled process that allows
FCRA compliant background check forms, including Electronic Chain-Of-custody  forms
and  releases to be completed online by the applicant.

We provide several short   videos    to  easily acquaint you with the system.

This  makes the background check process fast and easy.

Please   Click   or call for more information.

Call Us now at    800-459-3034  and begin ordering instant driving records and background checks within minutes or:


A price list will be promptly e-mailed to you.


None of the information contained in this web site should be construed as legal advice.
All forms, policies, information and procedures should be reviewed by your legal counsel before being used in any way.

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