Acknowledgement and Authorization for background check
I acknowledge receipt of the separate document entitled DISCLOSURE REGARDING BACKGROUND INVESTIGATION
and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand
both of those documents. I hereby authorize the obtaining of "consumer reports" and/or "investigative consumer
reports" by the Company at any time after receipt of this authorization and throughout my employment, if applicable.
To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency,
institution, school or university (public or private), information service bureau, employer, or insurance company to furnish
any and all background information requested by Checkr, Inc., 2505 Mariposa St. Floor 2, San Francisco, CA 94110 | 844-824-3247 |
[email protected]. I agree that an electronic copy of this Authorization shall be as valid as the original.
New York applicants only
Upon request, you will be informed whether or not a consumer report was requested by the Company, and if such report was
requested, informed of the name and address of the consumer reporting agency that furnished the report. You have the right
to inspect and receive a copy of any investigative consumer report requested by the Company by contacting the consumer reporting
agency identified above directly. By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law.
Washington state applicants only
You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the
Washington Fair Credit Reporting Act.
Minnesota and Oklahoma applicants only
Please check this box if you would like to receive a copy of a consumer report if one is obtained by the Company.
California applicants only
Under California Civil Code section 1786.22, you are entitled to find out what is in the
CRA's file on you with proper identification, as follows:
In person, by visual inspection of your file during normal business hours and on reasonable notice.
You also may request a copy of the information in person. The CRA may not charge you more than the
actual copying costs for providing you with a copy of your file.
A summary of all information contained in the CRA file on you that is required to be provided by the
California Civil Code will be provided to you via telephone, if you have made a written request, with
proper identification, for telephone disclosure, and the toll charge, if any, for the telephone call is
prepaid by or charged directly to you.
By requesting a copy be sent to a specified addressee by certified mail. CRAs complying with requests
for certified mailings shall not be liable for disclosures to third parties caused by mishandling of mail
after such mailings leave the CRAs
"Proper Identification" includes documents such as a valid driver's license, social security account number, military
identification card, and credit cards. Only if you cannot identify yourself with such information may the CRA require
additional information concerning your employment and personal or family history in order to verify your identity.
The CRA will provide trained personnel to explain any information furnished to you and will provide a written explanation
of any coded information contained in files maintained on you. This written explanation will be provided whenever a file
is provided to you for visual inspection. You may be accompanied by one other person of your choosing, who must furnish
reasonable identification. An CRA may require you to furnish a written statement granting permission to the CRA to discuss
your file in such person's presence.Please check this box if you would like to receive a copy of an investigative consumer report
or consumer credit report at no charge if one is obtained by the Company whenever you have a right to receive such a copy under
Please check this box if you would like to receive a copy of an investigative consumer report or consumer credit report
at no charge if one is obtained by the Company whenever you have a right to receive such a copy under California law.