The Consent to Background Check is a ready-to-use records & authorization template you can send for signature in minutes. It is written for 1 signer (applicant) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, technology. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Consent to Background Check **Date:** ___________ ## Applicant Information **Full Legal Name:** ___________ **Date of Birth:** ___________ **Social Security Number (last 4 digits):** ___________ **Current Address:** ___________ **Phone Number:** ___________ **Email Address:** ___________ ## Requesting Organization **Organization Name:** ___________ **Purpose of Background Check:** ___________ ## Authorization and Consent I, the undersigned, hereby authorize the Organization and its designated agents to conduct a background investigation as part of the above-described process. ### Scope of Investigation **Investigation Type:** ___________ The investigation may include but is not limited to: (a) Criminal records (federal, state, and county courts) (b) Sex offender registries (c) Employment history verification