I, {name}, understand that in connection with the application process NURSES DIRECT, LLC hereafter referred to as “The Company”, will request that Global Data Fusion, LLC., conduct a background check (consumer report) on me.
I AUTHORIZE THE COMPANY, ITS EMPLOYEES, REPRESENTATIVES AND AGENTS
TO INVESTIGATE MY BACKGROUND AND TO OBTAIN A CONSUMER REPORT
AND/OR INVESTIGATIVE CONSUMER REPORT FOR CLIENT SCREENING
PURPOSES. I FURTHER AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR
AGENCY CONTACTED BY THE COMPANY ITS AGENTS, ITS EMPLOYEES,
REPRESENTATIVES AND AGENTS, TO FURNISH INFORMATION REQUIRED IN
CONNECTION WITH THE PREPARATION OF A CONSUMER REPORT OR
INVESTIGATIVE CONSUMER REPORT.
My signature below, indicates I have carefully read and understand this
notice and consent to the release of a consumer report to The Company
for client screening purposes. I understand my consent remains in effect
indefinitely until it has been revoked in writing.
Background Investigation / Consumer Report Authorization