Contract Authorization to Release Records
I understand and agree that: The information supplied was submitted by myself and is accurate and complete. I understand that false or misleading information given in my application and/or interview(s) will be considered as cause for possible dismissal and/or discharge. I also understand that I am to abide by all rules and regulations of the company.
The company has my authorization to thoroughly investigate my work and personal history. I understand that the information supplied by me regarding my: employment, history, licensing, criminal history, insurance and references will be used as part of the processing procedures. A background check will be conducted to verify the veracity of the information submitted and will be used to develop information concerning my character, general reputation, personal characteristics and mode of living. I will hold no person liable for giving or receiving information in this investigation.
I hereby authorize SentryLink LLC, an agent of ProServe LLC, to make a thorough check of my past employment, licensure and activities. I release from liability all persons, companies and corporations supplying that information. I release and indemnify ProServe REO LLC and SentyLink LLC against any liability that might result from making such background checks. A copy of this form is as valid as the original.