Fair Credit Reporting Act Disclosure And Authorization Form Page 2

ADVERTISEMENT

This releases the aforesaid parties from any liability and responsibility for collecting the
above information. I understand that these files may contain negative information about
my background, mode of living, character, and personal reputation. This authorization,
in original or copy form, shall be valid for this and any future reports or updates that may
be requested.
Please Print
Name:__________________________________________________________________
First
Middle
Last
Other Names on Official Documents:__________________________________________
Social Security Number:____________________________________________________
Date of Birth:________________________________________ Age:________________
Driver’s License Number:___________________________State of Issue:____________
Address:________________________________________________________________
Street Address
________________________________________________________________________
City
State
Zip Code
Signature:_________________________________________ Date: ________________
Please list below all cities, states and counties in which you have lived in the past 10 years.
Date
City
State
County
Zip Code
Littleton Public Schools does not discriminate on the basis of race, color, religion,
national origin, sex, sexual orientation, disability, nor on the basis of age against persons
whose age is over forty (40), or any other applicable status protected by federal, state or
local law. Inquiries concerning any of the above should be directed to the Assistant
Superintendent of Human Resources, 5776 South Crocker Street, Littleton, Colorado
80120; phone (303) 347-3300; or to the Office of Civil Rights, U.S. Department of
Education, 1244 Speer Blvd., Ste. 300, Denver, Colorado 80204, phone (303) 844-5695.
G:SS/HR/Forms/HRForms/HiringForms

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Release Authorization And Fair Credit Reporting Act Disclosure Form Release Authorization And Fair Credit Reporting Act Disclosure Form Legal
Form Doj555 - Disclosure And Authorization Pertaining To Consumer Reports Pursuant To The Fair Credit Reporting Act Form Doj555 - Disclosure And Authorization Pertaining To Consumer Reports Pursuant To The Fair Credit Reporting Act Business
Fair Credit Reporting Act Disclosure And Authorization To Release Information - University Of Tennessee Fair Credit Reporting Act Disclosure And Authorization To Release Information - University Of Tennessee Business
Fair Credit Reporting Act Disclosure And Consent Form - Progressive Savings Bank And The Rains Agency, Inc. Fair Credit Reporting Act Disclosure And Consent Form - Progressive Savings Bank And The Rains Agency, Inc. Business
Fair Credit Reporting Act Dispute Letter Template Fair Credit Reporting Act Dispute Letter Template Letters
Employment Application/background Check Disclosure And Authorization Form/etc. Employment Application/background Check Disclosure And Authorization Form/etc. Business
Background Check Disclosure And Authorization Form Background Check Disclosure And Authorization Form Business
Background Check Disclosure And Authorization Form Background Check Disclosure And Authorization Form Legal
Background Check Disclosure And Authorization Form - Vancouver Human Resources Background Check Disclosure And Authorization Form - Vancouver Human Resources Business
Background Check Disclosure And Authorization Form Background Check Disclosure And Authorization Form Legal

Related Categories

Parent category: Business
Download
Go
Page of 2