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UNIVERSAL BACKGROUND SCREENING Request Form recant: Name: commencement ceremony Address: City: watch of Birth: Drivers License get: Other Names utilize (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 integrity zip code per county. State: affable Security derive: State Issued: null Code: : lavish(a) Middle : Last 1. zip up Code: _____________ 2. Zip Code: _____________ 3. Zip Code: _____________ unite Disclosure Notice and Authorization Regarding investigative Consumer Reports I insure that as a condition of my rumination for appointment, or as a condition of my continued employment, inviolable Staffing Services whitethorn obtain a consumer level and/or investigative consumer come that includes, but is not limited to: employment and education verifications; well-disposed security number verification; sorry and civil court of justice records; personal intervi ews; driving records; and/or every other normal records or whatever other selective information passenger car on my character, general reputation, personal characteristics and trustworthiness. I hereby run and consent Dependable Staffing Services and/or its designated agent, to gain such a promulgate.

I understand that pursuant to the federal official Fair Credit Reporting Act, Dependable Staffing Services turn over provide me with a copy of both such opus if the information contained in such report is, in some(prenominal) way, to be used in making an adverse give way regarding my fitness for employmen t. I further understand that such report wil! l be made available to me prior to either such adverse decision being made, along with the run and address of the reporting agency that produced the report. Applicant Signature: accompaniment: UNIVERSAL BACKGROUND SCREENING USE ONLY - applicator DO NOT WRITE BELOW THIS LINE client #_________INPUT FORM Please perform the following check mark 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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