Background Check & Drug Test Consent
I, , pursuant to the applicable provisions of federal Fair Credit Reporting Act (FCRA) hereby authorize National Star Services (“The Company”) and/or its agents to make an independent investigation of my background, references, character, past employment, education, credit history, adult criminal or police records, and motor vehicle records including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my application and/or obtaining other information which may be material to my qualifications for service now and, if applicable, during the tenure of my employment or service with The Company. In the event that The Company makes an employment decision based on information contained in a consumer report or an investigative consumer report, it will follow all applicable procedures contained in the FCRA.
I, the undersigned understand and consent to providing a drug and or alcohol screen in accordance with the company protocol either as a condition of employment or through company policy. I understand that I must comply with the drug and or alcohol procedures explained by any occupational health and company representative. Any non-compliance with either providing a screening sample or complying with drug and or alcohol procedures may result in non- hire for employment, disciplinary action, and or termination of employment.
I, the undersigned, have read and fully understand the above notice. I hereby authorize the Company to investigate and to verify the facts stated by me on my application and/or resume. I agree not to hold The Company responsible in any manner for errors in information provided to it by any of the sources it uses to obtain such information about my employment history, educational accomplishment, criminal record, driving record, credit history, character, general reputation, and personal characteristics. I release National Star Services and its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name and all information is true and correct to the best of my knowledge.
Employee Full Name:
Maiden Name or Other Names Used:
Social Security Number: | Date of Birth:
How long at present address?
Please indicate any of these states you have lived in:
Please list all states of residence since turning age 18, include the time lived at each state:
Have you ever been convicted of a felony, or a misdemeanor? If yes, please briefly describe the nature of the crime(s), the date, and the place of conviction and the legal disposition of the case. Answering yes does not automatically bar the applicant from employment as the company will consider the nature and date of the conviction relative to the duties of the position sought.
Driver’s License Number: | State of License:
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Background Check & Drug Test Consent
Agree & Sign