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It confirms the signer has received required disclosures, reviewed and understood them, and allows the company to rely on the documents to order one or more reports. The consumer reporting agency ADP Screening and Selection Services, Inc. prepares the report and may receive information from specified employers, institutions, agencies, and other repositories.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/authorization-for-background-checks/288958/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/authorization-for-background-checks/288958.png","ImageObject",442,249,{"name":88,"@type":89},"WPS_1786070896","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-12","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What does this authorization allow the company to do?","Question",{"text":109,"@type":110},"It instructs and authorizes the company to obtain one or more consumer reports about the signer, including investigative consumer reports, and consumer credit reports where allowed by law.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Who is the consumer reporting agency preparing the report?",{"text":114,"@type":110},"ADP Screening and Selection Services, Inc. (ADP SASS) prepares the consumer report for the company.",{"name":116,"@type":107,"acceptedAnswer":117},"Can the company order additional consumer reports during employment?",{"text":118,"@type":110},"Where allowed by applicable law, the company may rely on the authorization to order additional consumer reports, including investigative and credit reports, during employment without obtaining authorization again.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},288958,1790961604,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},549768072016,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","AUTHORIZATION FOR BACKGROUND CHECKS  \nI instruct and authorize   , including its designated representatives, affiliated and/or related entities, and agents (collectively, the “Company”) to obtain a consumer report(s) on me, including any investigative consumer reports and any consumer credit reports. * I also agree that a copy of this form is valid like the signed original.  \nI acknowledge that: (a) I have received the Consumer Report Disclosure and any additional disclosures and notices required by law; (b) each document is clear, conspicuous, and separate from any other document(s); (c) I have read and understood them; and (d) the Company may rely on them to obtain one or more consumer reports and/or investigative consumer reports on me.  \nThe consumer reporting agency (“CRA”) ADP Screening and Selection Services, Inc. (“ADP SASS”) will prepare the consumer report for the Company. ADP SASS is located at 2950 East Harmony Road, Suite 130, Fort Collins, CO, 80528, and can be reached by phone at 800-367-5933, or [at www.adpselect.com](at www.adpselect.com).  \nI understand that, where allowed by applicable law, the Company may rely on this authorization to order additional consumer reports, including investigative consumer reports and any consumer credit reports * during my employment, without asking me for my authorization again. Where allowed by law, I authorize the Company to procure any such subsequent reports. I understand the Company may order consumer report(s) under my legal name and any other names I may have used.  \nI also instruct and authorize the following persons, agencies, and entities to disclose to ADP SASS and its agents all information about or concerning me, as allowed by law, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. As allowed by law, such disclosures may contain the following information pertaining to me: credit history *; public records; a Social Security number verification; driving records; military service; credentials/certifications; worker’s compensation injuries; and verification of prior employment and education.  \n*I understand that I am instructing and authorizing the Company to obtain a consumer credit report only to the extent permitted by law. If I reside or anticipate being employed in New York City, I understand that I am not being asked to authorize a consumer credit report by signing this document.  \nBy signing below, I understand that I am agreeing to the terms contained in this document.  \nIf you live or work for the Company in California, Minnesota or Oklahoma: Check this box if you would like a free copy  \nof your background check report: 􀀀  \nPlease print your full legal name:  \nLast Name   First   Middle    \n    / /   \nSignature Today’s Date (Month/Day/Year)  \nIf required, notarize here. When using an embossed seal, Subscribed and sworn before me: please shade with a pencil before faxing.  \n\n| Notary Public Signature |\n| --- |\n| Date |\n\nMy Commission Expires  \ndocAUTs~v0823 Page 1 of 1","cbCaiok6u6nHUMqX","https://ap.wps.com/l/cbCaiok6u6nHUMqX","pdf",47829,"English","# Authorization for Background Checks\n## Coverage and scope of consumer reports\n## Consumer reporting agency details (CRA)\n## Information sources and permitted data\n## Disclosures, consent, and report ordering","[{\"question\":\"What does this authorization allow the company to do?\",\"answer\":\"It instructs and authorizes the company to obtain one or more consumer reports about the signer, including investigative consumer reports, and consumer credit reports where allowed by law.\"},{\"question\":\"Who is the consumer reporting agency preparing the report?\",\"answer\":\"ADP Screening and Selection Services, Inc. (ADP SASS) prepares the consumer report for the company.\"},{\"question\":\"Can the company order additional consumer reports during employment?\",\"answer\":\"Where allowed by applicable law, the company may rely on the authorization to order additional consumer reports, including investigative and credit reports, during employment without obtaining authorization again.\"}]","Authorization for Background Checks | PDF",1789634289]