I hereby authorize HOME COMPANION SERVICES, INC. and/or any entity directed by Company to conduct a reference check and to obtain an investigative consumer report and/or consumer credit report for employment purposes, including, in connection with, my application for employment or continued employment.

An “investigative consumer report” includes any information as to your character, general reputation, personal characteristics or mode of living. A “consumer credit report” includes any information regarding your credit worthiness, credit standing or credit capacity. The specific nature and scope of the investigative consumer report may include inquiries regarding Educational background; work history; personal financial status and credit history; workers compensation claims; court records, including criminal conviction records as permitted by law; driving history; verification of Social Security Number; and references obtained from professional and personal associates.

I further understand and agree that an investigative consumer report and/or consumer credit report may be obtained at any time, and any number of times, as the Company in its sole discretion determines it is necessary before, during or after my employment. I understand that I may request a copy of the investigative consumer report provided to Company. I acknowledge receipt of the attached summary of rights regarding an investigative consumer reporting agency’s obligations pursuant to the Fair Credit Reporting Act.

I hereby authorize all previous employers, educational institutions, consumer reporting agencies and other persons or entities having information about me to provide such information to Company or other entity that obtains information for Company. I further fully release Company, its employees, officers, directors, agents, successors and assigns, and all other parties involved in this background investigation, including, but not limited to, investigators, credit agencies and those companies or individuals who provide information to Company concerning me from any claims or actions for liability whatsoever related to the process or results of the background investigation.

I understand that an offer of employment is contingent upon the outcome of my background check, and that this Disclosure and Authorization is not an offer for employment by Company or a contract for employment with Company. I further understand Company operates under an AT-WILL EMPLOYMENT POLICY and this Authorization does not alter or affect that policy in any manner whatsoever.