This form must be completed and signed by every current or prospective employee, volunteer and contractor/vendor, for whom criminal history records are requested by a qualified entity, school or organization.
I hereby authorize Safe Electric, LLC to run a comprehensive background check, for the purpose of accessing and reviewing Ohio and national criminal history that may pertain to me directly from the appropriate agencies. By signing this Waiver Agreement, it is my intent to authorize the dissemination of any criminal history record that may pertain to me to the Qualified Entity with which I am or am seeking to be employed. I understand that, until the criminal history background check is completed, you may choose to deny me unsupervised access to clients homes, the office or company vehicles. I further understand that, upon request, you will provide me with copy of the criminal history background report, if any, you receive on me and that I am entitled to challenge the accuracy and completeness of any information contained in any such report. I may obtain a prompt determination as to the validity of my challenge before you make a final decision about my status as an employee, volunteer, contractor or subcontractor.