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.
AUTHORIZATION FOR PRIOR EMPLOYER TO RELEASE INFORMATION
(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