I do hereby authorize Global Security Services-IA, Ltd. or it’s agent, to prepare an investigative consumer report including criminal, civil, motor vehicle, and other records. I authorize full disclosure of all records concerning myself to any duly authorized agent of Global Security Services, Ltd. and Global Security Services-IA, Ltd. whether said records are public, private or confidential in nature.
The intent of this authorization is to give my consent for full and complete disclosure of my records regarding my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, mode of living, work habits, work performance and experience, including, where applicable, the reasons for disciplinary action in or termination of current or past employment. I understand that this information may be derived from interviews with neighbors, friends, associates or other acquaintances, including professional and personal references and previous employers. This report will be used for employment purposes as defined in the Fair Credit Report Act, Section 603 (h). In using a consumer credit report for employment purposes, before taking adverse action, based in whole or in part on the credit report, the person taking such action shall provide the consumer to whom the report relates a copy of the report and a description in writing of the rights of the consumers rights (copy provided) under the Fair Credit Reporting Act, as prescribed by the Federal Trade Commission, Section 609 (c) (3).
I understand that any information obtained by a personal history background investigation which is developed directly or indirectly, in whole or part, upon this form releases said persons(s) from any and all liability which may be incurred as a result of furnishing such information. I further release Global Security Services-IA, Ltd. from any and all liability which may be incurred as a result of collecting such information.