Consent of the employee for background check

Employee name :

Employee address :

I, ____________ hereby authorize ____________/ or its designated agents and representatives to conduct a comprehensive review of my background - education, character, professional, criminal record in any state or local files, including those maintained by both public and private organisations which are material for me to qualify for employment. I have been explained by the employer the process of background verification, which I have understood and acknowledged. The purpose of this express and willful consent is well explained to me in the language known to me and I hereby fully authorize the company to hold, access and use the verification data as it deems necessary.

With regard to the foregoing disclosures, I hereby agree to release any person, company, or other entity from any and all causes of action that might arise from supplying the Company with information it may request.

I certify that all information provided below and attached document is correct to the best of my knowledge. Any false statements provided will be considered just cause for the termination of employment at any time.

I further agree, consent and accept that terms of this form has been well explained to me by the employer, in language know to me, and I have understood the same and hereby executing this consent voluntarily thereto.

Employee Name:

Signature:

Date: