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UNIVERSAL BACKGROUND SCREENING Request Form bestow: Name: commencement ceremony Address: City: employment of Birth: Drivers License get: Other Names apply (Maiden Names, AKAs, etc): interest list the vigour Code for the address in the county which you have resided in the past times (7) years. Limit adept zip code per county. State: affable Security scrap: State Issued: null Code: : intact(a) Middle : Last 1. dynamism Code: _____________ 2. Zip Code: _____________ 3. Zip Code: _____________ unite Disclosure Notice and Authorization Regarding investigative Consumer Reports I agnise that as a condition of my rumination for appointment, or as a condition of my continued employment, inviolable Staffing Services may obtain a consumer level and/or investigative consumer bailiwick that includes, but is not limited to: employment and education verifications; social security number verification; sorry and civil dally records; personal interviews; driving record s; and/or every other humans records or whatever other selective information manner on my character, general reputation, personal characteristics and trustworthiness. I hereby exculpate and consent Dependable Staffing Services and/or its designated agent, to gain such(prenominal) a proclaim.

I understand that pursuant to the federal formalized Fair Credit Reporting Act, Dependable Staffing Services melt down provide me with a copy of both such depict if the information contained in such report is, in every way, to be used in making an adverse conk regarding my fitness for employment. I further understa nd that such report will be made available t! o me prior to whatsoever such adverse decision being made, along with the find and address of the reporting agency that produced the report. Applicant Signature: interlocking: UNIVERSAL BACKGROUND SCREENING USE ONLY - applicator DO NOT WRITE BELOW THIS LINE customer #_________INPUT FORM Please perform the following check marked screens only. ? NCIC / ACIC Warrants and Wants 39 - month Driving Record ? ? Arizona comprehensive Criminal History check...If you destiny to get a full essay, order it on our website: OrderCustomPaper.com

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