Employee Background Check Authorization Form

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About Us
Our Specializations
Government
Contact

Background Check Authorization Form

Congratulations!!!

We are pleased to inform you that you have been selected as a final candidate for a position at one of our esteemed client companies. As part of our hiring process, we conduct a comprehensive background check to ensure the highest standards of integrity and excellence. Please complete the following form to provide your consent and the necessary information for us to proceed with the background check.

Personal Information

Please provide your legal information as required for the background check.

First Name(Required)

Middle Name

Last Name(Required)

Email(Required)

Phone(Required)

Social Security Number (SSN)(Required)

Date of Birth(Required)

Month

Day

Year

Current Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact Information

Please provide information of someone who can be contacted in case of an emergency. This person should be readily available at any time.

Emergency Contact Name(Required)

Relationship to You(Required)

Emergency Contact Email (If any)

Emergency Contact Phone Number(Required)

Reference Information

Please provide a professional reference who can attest to your qualifications and work history.

Full Name(Required)

First Last

Phone(Required)

Email(Required)

Company/Organization Name(Required)

Additional Questions

1. Are you lawfully authorized to work in New York?(Required)

Yes

If yes, can you provide proof of your authorization?

Yes

2. Have you ever been convicted of a crime?(Required)

Yes

If yes, please provide details

3. Have you ever been incarcerated?(Required)

Yes

If yes, please provide details

4. Do you have any pending criminal charges?(Required)

Yes

If yes, please provide details

Authorization and Consent(Required)

I agree to the statement below.

I hereby authorize Corporate Hiring Solutions and/or its agents to conduct a comprehensive background check, including but not limited to verification of employment history, education records, criminal records, and any other necessary information required for my employment consideration.

I understand that the information obtained will be used for the purpose of evaluating my suitability for employment. I hereby release Corporate Hiring Solutions and its agents from any liability in connection with the background check.

Name

This field is for validation purposes and should be left unchanged.

Home
About Us
Our Specializations
Government
Contact