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Adverse Action Notification

Date

Applicant Name
Address

Dear Applicant:
We regret to inform you that based on our hiring criteria; we are unable to consider you further for an employment
opportunity with our organization. This decision was made in part from the information we received from Complete
Security Investigations LLC, our employment screening vendor. Complete Security Investigations LLC does not
make these decisions and is unable to provide you with the specific reasons for them.
In accordance with the Fair Credit Reporting Act, you have previously received a copy of this information and a copy
of your rights under the Act. You also have the right to obtain an additional free copy of the report within 60 days of
your receipt of this letter by contacting the supplier at the addresses and telephone numbers below. Please refer to
these documents if you have further questions. You have the right to dispute the accuracy or completeness of the
information contained in the report(