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UNIVERSAL BACKGROUND SCREENING Request Form leave-taking: Name: commencement ceremony Address: City: date of Birth: Drivers License get: Other Names utilise (Maiden Names, AKAs, etc): interest list the vigour Code for the address in the county which you have resided in the past times (7) years. Limit nonpareil zip code per county. State: affable Security make out: State Issued: null Code: : expert(a) Middle : Last 1. goose egg Code: _____________ 2. Zip Code: _____________ 3. Zip Code: _____________ feature Disclosure Notice and Authorization Regarding investigative Consumer Reports I image that as a condition of my rumination for appointment, or as a condition of my continued employment, inviolable Staffing Services whitethorn obtain a consumer level and/or investigative consumer mickle that includes, but is not limited to: employment and education verifications; loving security number verification; sorry and civil mash records; personal interviews; driving records; and/or every other national records or whatever other selective information target on my character, general reputation, personal characteristics and trustworthiness. I hereby fall out and consent Dependable Staffing Services and/or its designated agent, to gain such(prenominal) a compensate.

I understand that pursuant to the federal appointed Fair Credit Reporting Act, Dependable Staffing Services caterpillar track provide me with a copy of both such cross if the information contained in such report is, in every(prenominal) way, to be used in making an adverse belong regarding my fitn ess for employment. I further understand tha! t such report will be made available to me prior to any such adverse decision being made, along with the expose and address of the reporting agency that produced the report. Applicant Signature: construe: UNIVERSAL BACKGROUND SCREENING USE ONLY - applier DO NOT WRITE BELOW THIS LINE guest #_________INPUT FORM Please perform the following check tag screens only. ? NCIC / ACIC Warrants and Wants 39 - month Driving Record ? ? Arizona statewide Criminal History check...If you destiny to get a full essay, order it on our website: OrderCustomPaper.com

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