Credit Report Authorization (Consent) Form
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By my signature below I, ____________________________________, authorize
____________________________________ to obtain a Background Check and / or Consumer
Credit Report on me.
This authorization is valid for purposes of verifying information given pursuant to
employment, leasing, rental, business negotiations, or any other lawful purpose covered
under the Fair Credit Reporting Act (FCRA).
The Background Check may contain information available in the Public Domain but may
not include interviews with persons other than previous employers or their agents.
By my signature below, I hereby authorize all corporations, former employers, credit
agencies, educational institutions, law enforcement agencies, city, state, county and
federal courts and agencies, military services and persons to release all information they
may have about me including criminal and driving history. This authorization shall be
valid in original or copy form.

Applicant's Name:________