BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM
In the interest of maintaining the safety and security of our customers, employees and property,
“Company”) will order a “consumer report” (a background report) or “investigative consumer report" on you in connection with your
employment application, and if you are hired, or if you already work for the Company, may order additional background reports on you for
The background check company, ADP Screening and Selection Services, will prepare the background report for the Company. ADP
Screening and Selection Services is located at 301 Remington Street, Fort Collins, CO, 80524, and can be reached by phone at 800-3675933 or at their Internet Web site address www.adpselect.com.
The background report may contain information concerning your character, general reputation, personal characteristics, mode of living,
and credit standing. The types of information that may be ordered include but are not limited to: Social S