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HR & Recruiting
Background Check Consent
A clear disclosure and candidate authorization for pre-employment screening.
Use this template10 fields · Free · Customize before publishing
What this form looks like
Preview · not interactiveBackground Check Consent
A clear disclosure and candidate authorization for pre-employment screening.
Your full legal name*
Exactly as it appears on your government-issued ID.
Other names you have used (optional)
Maiden name, previous legal name, common alias…
Helps the screening provider match records accurately.
Date of birth*
Pick a date📅
Used only for identity matching. You must be 18 or older.
Government ID number*
Passport or national ID number
The ID type your recruiter asked you to provide.
Current residential address*
Your primary residence for the address-history check.
Email address*
The screening provider may contact you here for missing details.
Phone number*
Disclosure & authorization*
Disclosure & authorization
Your signature*
Sign here
Your signature confirms the authorization above.
Date signed*
Pick a date📅
Submit