RMCN Credit Services
BACKGROUND CHECK DISCLOSURES

RMCN Credit Services
1611 Wilmeth Road
McKinney, Texas 75069Disclosure and Release of Information Authorization
Consumer Report/Investigative Consumer Report
Important: Please read carefully.

 

A consumer report is a type of background check in which information (which may include, but is not limited to,creditworthiness, credit standing, credit capacity, criminal background, driving background, character, general reputation,personal characteristics, and mode of living) about you is gathered and communicated by a consumer reporting agency(“CRA”) to RMCN Credit Services and/or its subsidiaries, affiliates, other related entities, successors, and/or assigns (the “Company”).

Company may obtain a consumer report on you to be used for employment purposes, including your application for employment.

Position Applied For:

Email Address:

Note: I am providing the following voluntarily.

Last Name

First Name

Middle Name (Full)

Other Names Known By

Social Security Number

Date of Birth

Sex

Drivers License State

Drivers License Number

Current Street Address

City, State & Zip

Previous Street Address

City, State & Zip

To the extent permitted by applicable state law, I hereby consent to this investigation and authorize RMCN Credit Services and/or its subsidiaries, affiliates, other related entities, successors, and/or assigns (the "Company"), to procure consumer report(s), criminal background check(s), consumer credit report(s), investigative consumer report(s) (as defined by the federal Fair Credit Reporting Act) and/or investigative consumer report(s) (as defined by applicable California state law), on my background from a consumer reporting agency ("CRA") or from an investigative consumer reporting agency ("ICRA"), as described in the Background Check Disclosures, the Additional Disclosures, and the California State Law Disclosures (all of which I have received separately from the Company). I have reviewed and understand the information,statements, and notices in the Background Check Disclosures, the Additional Disclosures, and the California State Law Disclosures, as well as this Background Check Authorization. My authorization remains valid throughout my employment with the Company, such that, to the extent permitted by applicable law, I agree Company can procure additional consumer report(s), criminal background check(s), consumer credit report(s), and/or investigative consumer report(s) (as defined by federal law) during my employment without providing Additional Disclosures or obtaining additional authorizations.Except as otherwise prohibited by state law, I consent to and authorize the Company to share this information with Company's current or prospective clients, customers, others with a need to know, and/or their agents (including but not limited to staffing/placement company clients and vendor credentialing companies) for business reasons (e.g., to place me in certain employment positions, jobs, work sites, etc.).

 For California, Minnesota, or Oklahoma applicants/employees only: If you would like to receive from (as applicable) CRA, the ICRA, or the Company, a copy of the background check report that Company may procure, please check this

 I have READ, ACKNOWLEDGED, and AUTHORIZED the statements above. In addition, I authorize Edge Information to contact me at (Phone Number) for clarification of the information provided

Signature:

Date:

How did you hear about employment opportunities with RMCN?

 

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