Authorization to Obtain a Credit Report

Disclosure to Employment Application

Regarding Procurement of Credit Report

In connection with your application for employment, we may procure, or cause to be procured, a credit report on you as part of the process of considering your candidacy as an employee. In the event that information from the report is utilized in whole or in part in making an adverse decision with regard to your potential employment, we will provide you with a description in writing of your
rights under the law.

All personal identifying information used for the purposes of obtaining a credit report will be taken from your employment application. By signing below, you hereby authorize us to obtain a credit report about you in order to consider you for employment.

The information below will need to be included in the request for signature: