Fair Credit Reporting Act Disclosure And Authorization Form printable pdf download

Fair Credit Reporting Act Disclosure and Authorization

The purpose of this form is to notify you that a consumer report will be run on you in the

course of consideration for employment with Littleton Public Schools.

As an applicant for the volunteer (or Senior Citizen Rebate) program, you are a consumer with

rights under the Fair Credit Reporting Act. Under this law, the district may procure a consumer

report or an investigative consumer report from a consumer reporting agency on you when (1)

considering your application for employment, (2) making a decision whether to offer you

employment, (3) deciding whether to continue your employment (if you are hired), or (4) making

other employment decisions directly affecting you.

A “consumer report” means any written, oral, or other communication bearing on your credit

worthiness, credit standing, credit capacity, character, general reputation, personal characteristics,

or mode of living which is used in whole or in part for the purpose of serving as a factor in

establishing your eligibility for employment purposes.

An “investigative consumer report” means a consumer report or portion thereof in which

information on your character, general reputation, personal characteristics, or mode of living is

obtained through personal interviews with your neighbors, friends, or associates reported on or

with others with whom you are acquainted or who may have knowledge concerning any such

items of information.

In the event an investigative consumer report is prepared, you may request additional disclosures

regarding the nature and scope of the investigation requested as well as a written summary of

your rights under the Fair Credit Reporting Act.

Should any of the information from a report be utilized in whole or in part in making an adverse

decision with regard to your employment, before making the adverse decision, we will provide

you with a copy of the consumer report and a summary of your rights under the Fair Credit

Reporting Act.

In connection with this request, I authorize all corporations, former employers, credit agencies,

educational institutions, law enforcement agencies, city, state, county and federal agencies,

military services and persons to release information they may have about me to the person or

company with which this form has been filed or their agent, Background Information Services,

Inc. This releases the aforesaid parties from any liability and responsibility for collecting the

above information.

I authorize a consumer credit report to be run. I also authorize the release of my motor vehicle

driving records maintained by law enforcement agencies, city, state, county and federal courts, or

any other state or local agency, to the person or company with which this form has been filed or

their agent, Background Information Services, Inc.

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Fair Credit Reporting Act Disclosure And Authorization Form