Candidate Disclosure, Authorization & Consent for the Procurement of Consumer Reports

 

Section I: Disclosure
R.D Graham Electric Inc. may request background information about you from a consumer reporting agency in connection with your employment application and for employment purposes.

The report ordered is defined by the Fair Credit Reporting Act (FCRA) as a Consumer Report, and all inquiries are limited to information that affects job performance and the workplace. It is conducted in accordance with applicable federal and state laws including the FCRA. The screening will be conducted by an outside agency —
First Point, Inc., P.O. Box 26140 Greensboro, NC 27402, 800-449-0245, www.firstpointresources.com.
As a result, First Point may obtain a Consumer Report on you as an applicant or during employment. A consumer report is a compilation of information that might affect your employability. The scope of the report may include information concerning your driving record, civil and criminal court records, drug screening results, worker’s compensation record, education, credentials, identity, past addresses, social security number, previous employment and personal references. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying.
Should an employer rely upon a consumer report for an adverse action, the FCRA mandates you be provided with a copy of the consumer report and a summary of your rights. An adverse action is defined as “a denial of employment or any other decision for employment purposes that adversely affects any current or prospective employee.”

Section II: Authorization and Release
I have carefully read and understand this Candidate Disclosure, Authorization & Consent for the Procurement of Consumer Reports form and the attached summary of rights under the Fair Credit Reporting Act. By my signature below, I consent to the release of consumer reports and investigative consumer reports prepared by a consumer reporting agency, such as First Point Inc. to R.D. Graham Electric Inc. and its designated representatives and agents. I understand that if the Company hires me, my consent will apply, and the Company may obtain reports, throughout my employment. I also understand that information contained in my job application or otherwise disclosed by me before or during my employment, if any, may be used for the purpose of obtaining consumer reports and/or investigative consumer reports. By my signature below, I authorize law enforcement agencies, learning institutions (including public and private schools and universities), information service bureaus, credit bureaus, record/data repositories, courts (federal, state and local), motor vehicle records agencies, my past or present employers, the military, and other individuals and sources to furnish any and all information on me that is requested by the consumer reporting agency.

I, {fullName}, have carefully read the foregoing, and I fully understand its contents. I agree that my signing of this Consent and Release for Procurement of Consumer Reports is voluntary, and that I have not been coerced into signing this document. By my signature below, I certify the information I provided on this form is true and correct and will be valid for any reports that may be requested by or on behalf of the Company and I agree with the procurement of the reports.

Consent and Release for Employment Drug Screening

 

 As a condition to my employment at R.D, Graham Electric Inc., I agree to submit to a urine drug test, also known as a urinalysis. The purpose of this urinalysis is to determine the use of controlled substances in my body. I understand that the results of this urinalysis, if confirmed positive, may remove me from consideration for employment at R.D. Graham Electric Inc. A positive test indicates the presence of marijuana, cocaine, opiates, amphetamines, and/or phencyclidine. For the sole purpose of this urinalysis, I authorize my Employer’s Authorized Agents to collect samples of my urine, and to use these samples or to forward these samples to a testing laboratory chosen by R.D. Graham Electric Inc. for analysis. I also authorize these results to be reviewed by a Medical Review Officer (MRO). Further, I authorize my Employer’s Authorized Agents to release the results of this urinalysis, and any other related documentation, to First Point Inc. and to it’s agents and employees with a need--‐to--‐know. I agree that a reproduced copy of this Consent and Release for Employment Drug Screening shall have the same force and effect as the original.

I, {fullName}, have carefully read the foregoing, and I fully understand its contents. I agree that my signing of this Consent and Release for Employment Drug Screening is voluntary, and that I have not been coerced into signing this document.