INITIAL NOTICE AND CONSENT TO OBTAIN
BACKGROUND INVESTIGATION REPORTS
I hereby acknowledge that I have been notified by 123 Staffing & 24HR. Care. LLC. (“Employer”) that said Employer may obtain one or more background investigation reports (sometimes known as “consumer reports”) on me concerning my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics and/or mode of living. I understand that such a report(s) may be obtained in connection with my application for employment and/or at any time during my employment with the Employer if I am hired or
if I am a current employee. Examples of such reports may include criminal background reports, motor vehicle driving records, credit histories, other reports required by law and others. I hereby authorize the Employer to obtain such background investigation reports on me as it deems necessary or advisable in connection with my application for employment (if I am an applicant) or at any time in connection with my employment (if I am hired or if I am a current employee). I also authorize the Employer to disclose the information in such a report (including providing a copy of the report) to any existing or prospective clients of, vendors of, and third parties with whom the Employer does business if the Employer is required to do so or deems it necessary or advisable to do. I understand that my Employer is not responsible for the accuracy or completeness of the information contained in any such reports. I also understand that this consent is a continuing consent and will remain valid until such time as I inform my Employer, in writing, that I wish to revoke this consent.
*All information obtained on this form will be used for background screening purpose.