Fair Credit Reporting Act Disclosure And Authorization To Release Information - University Of Tennessee Page 2
Download a blank fillable Fair Credit Reporting Act Disclosure And Authorization To Release Information - University Of Tennessee in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Fair Credit Reporting Act Disclosure And Authorization To Release Information - University Of Tennessee with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2List all Residence Addresses in Past Seven Years (attach additional sheets if necessary)
_____________________
____________________________________________________________________
(Date from – to)
(Number & Street)
City
State
Zip
_____________________
____________________________________________________________________
(Date from – to)
(Number & Street)
City
State
Zip
_____________________
____________________________________________________________________
(Date from – to)
(Number & Street)
City
State
Zip
_____________________
____________________________________________________________________
(Date from – to)
(Number & Street)
City
State
Zip
_____________________
____________________________________________________________________
(Date from – to)
(Number & Street)
City
State
Zip
PLEASE SUPPLY THE FOLLOWING SCHOOL INFORMATION (HIGHEST DEGREE EARNED): N/A □
SCHOOL: ______________________________________________ CITY/STATE: _______________________
DEGREE: _______________________________________ DEGREE STATUS: __________________________
DATES ATTENDED: __________________________________________________________________________
(Start Month / Year)
(End Month / Year)
ADDITIONAL STATE LAW NOTICES
For Maine Applicants Only
Upon request, you will be informed whether or not an investigative consumer report was requested, and if such a report was
requested, the name and address of the consumer reporting agency furnishing the report. You may request and receive from
us, within 5 business days of our receipt of your request, the name, address and telephone number of the nearest unit
designated to handle inquiries for the consumer reporting agency issuing an investigative consumer report concerning you.
You also have the right, under Maine law, to request and promptly receive from all such agencies copies of any reports.
For New York Applicants Only
You have the right, upon written request, to be informed of whether or not a consumer report was requested. If a consumer
report is requested, you will be provided with the name and address of the consumer reporting agency furnishing the report.
For California Applicants Only
You may view the file maintained on you by TrueScreen during normal business hours. You may also obtain a copy of this
file upon submitting proper identification and paying the costs of duplication services, by appearing at TrueSCreen’s offices
in person, during normal business hours and on reasonable notice, or by mail; you may also receive a summary of the file by
telephone. TrueScreen has trained personnel available to explain your file to you, including any coded information. If you
appear in person, you must be accompanied by one other person, provided that person furnishes proper identification.
For Minnesota, Oklahoma and California Applicants Only: In connection with your application for employment, your
investigative consumer report may be obtained and reviewed. Under California, Minnesota and Oklahoma law, you have a
right to a free copy of your investigative consumer report by checking the appropriate box below.
______ YES, I am a California resident and would like a free copy of my investigative consumer report.
______ YES, I am a Minnesota resident and would like a free copy of my consumer report.
______ YES, I am an Oklahoma resident and would like a free copy of my consumer report.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business