Absentee Shawnee Housing Authority
107 N. Kimberly
Shawnee, OK 74801
AUTHORIZATION FOR RELEASE OF INFORMATION
This release of information constitutes my consent and authorization to the the agencies or representatives identified to furnish ABSENTEE SHAWNEE HOUSING AUTHORITY MAXIMUM REPORTS, INC., and/or its representative's permission and authority to conduct a credit check in order to determine my suitability for Down Payment Assistance Program with ABSENTEE SHAWNEE HOUSING AUTHORITY. I understand and consent to an investigation that is limited to criminal and civil record history information, motor vehicle driving history, human services inquiry for domestic violence, child abuse or neglect information, employement verification, educational verification, professional licensing, personal and professional rederences and credit reports whether or not such information would otherwise be protected from disclosure by any constitutional, statutory or common law priveldge.
I authorize the custodians of such records and sources of information to release the information, including permittting the review and copying of all documents, records or correspondence pertaining to me, to the representatives of ABSENTEE SHAWNEEE HOUSING AUTHORITY and MAXIMUM REPORTS,INC., regardless of any previous agreement to the contrary.
I agree to accept all risks of adverse public notice, embarrassment, criticism or financial loss that may result from use of information that is obtained in connection with a background investigation for the purpose listed in this document.
I agree to indemnify and hold harmless any person to whom this is lawfully presented and his agent and employees from and against all claims, damages, losses, and expenses, including reasonable attorney's fees, arising out or by reason of complying with this request.