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ss  \nCounty of__________________)  \nI,   , born     \n(Applicant Name) (Birth Date)  \nin     , having filed an application for admission to the Utah (City, State, Country)  \nState Bar, hereby apply for a character report. I consent to an investigation, as deemed necessary by the Bar, as to my moral character, professional reputation and fitness for the practice of law. I agree to give any further information which may be required in reference to my past record. I understand that I will not receive and am not entitled to a copy of the report or to know its contents, and I further understand that the contents of my character report are privileged.  \nI also authorize and request every person, firm, company, corporation, educational institution (including law school), creditor, consumer credit reporting service, governmental agency, court, health care facility and/or provider, association or institution having control of any documents, records, and other information pertaining to me to furnish to the Utah State Bar or the National Conference of Bar Examiners any such information, including documents, records, bar association files regarding applications for admission, and charges or complaints filed against me,(formal or informal and/or pending or closed) or any other pertinent data, and to permit the Utah State Bar and the National Conference of Bar Examiners or any of their agents or representatives to inspect and make copies of such documents, records and other information.  \nI release the Board of Bar Commissioners and the Bar’s employees, committees, and their agents from liability for damages for conduct and communications occurring in the performance of and within the scope of their official duties in processing this application to the Utah State Bar. I release from liability for damages every person, firm company, corporation, educational institution (including law school), governmental agency, court, health care facility and/or provider, association or institution from disclosure of any documents, records, statements of opinion, and other information pertaining to me communicated without malice to the Board or the Bar’s employees, committees and their agents.  \nI specifically acknowledge that the Utah State Bar and its designated agents are authorized to request the Utah Bureau of Criminal Identification or its successor, in conjunction with the Federal Bureau of Investigation, to conduct a national criminal history record check for purposes of ascertaining the character and fitness of the applicant for admission to the Bar.  \nI authorize the Utah State Bar or any of their agents or representatives to obtain credit reports and further documentation relating to the same.  \nI specifically authorize the Utah State Bar to obtain any information from my official record on file with any Local Board Number of the Selective Service System; and hereby consent to and authorize the release of such information by the Selective Service System.  \nI hereby request and authorize the Department of the Defense, the Army, Navy, Air Force, Coast Guard, or any military service to furnish to the Utah State Bar the record of each period of my service  \ntherein, and to furnish the character of service rendered for each period. My serial number was  \n.  \nI hereby release, discharge, exonerate the Utah State Bar and the National Conference of Bar Examiners, their committees, agents and representatives, and any person or entity furnishing any information, from any and all liability of every nature and kind arising out of the furnishing or inspection of such documents, records, and other information or the investigation made by the Utah State Bar or the National Conference of Bar Examiners or by any agency or person associated with them.  \nI have read the foregoing Authorization and Release.  \nSignature of Applicant  \nDate ofBirth:    \nPrevious name or names used (including any maiden name):    \nSTATE OF )","cbCair2BsDVgpLJU","https://ap.wps.com/l/cbCair2BsDVgpLJU","pdf",88895,"English","# Authorization and Release\n## Consent to investigation and access to privileged information\n## Authorization to request records and inspect documents\n## Release from liability and criminal history record check authorization\n## Request for credit reports and selective service information\n## Military service record request and final releases\n## Applicant signature and notary public acknowledgment","[{\"question\":\"What does the applicant consent to in this form?\",\"answer\":\"The applicant consents to an investigation into moral character, professional reputation, and fitness for the practice of law, and agrees to provide further information related to past records.\"},{\"question\":\"Who can receive and inspect records under the authorization?\",\"answer\":\"The Utah State Bar and the National Conference of Bar Examiners, along with their agents or representatives, may request, receive, inspect, and make copies of documents and records relevant to the applicant.\"},{\"question\":\"What liabilities does the applicant release?\",\"answer\":\"The applicant releases the Board of Bar Commissioners, the Bar’s employees, committees, and agents from liability for damages arising from official processing, communications, inspection, and investigation conducted within the scope of their duties.\"}]","Authorization and Release - Character Report Consent | PDF",1789955295]