Free background check form 26
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CRIMINAL RECORDS and BACKGROUND RELEASE
AUTHORIZATION and DISCLOSURE
COMPANY OR ORGANIZATION:
I,

___
FIRST NAME

MIDDLE NAME

________ ______________
LAST NAME (Please Include Jr., Sr., II, III, etc.)

understand that UNIQUE B ACK GROUND SOLUTIONS will seek and obtain consumer reports / investigative reports about me as defined in the Fair Credit Reporting Act
(FCRA). These investigative reports may include, whichever are applicable, but are not limited to verification of Social Security Number, na mes and dates of previous/current
employment, work experience, professional and personal references, criminal history records (from local, state, federal, international and other law enforcement agencies’
records), sexual offender’s lists, wants and warrants records, motor vehicle records, military records, educational verification, license verification, credit history, civil cases,
OIG/GSA, OFAC/Patriots Act, any sanction lists, and drug testing. I understand and authorize that these recor