Employment & HR

Reference Check Authorization

Candidate authorization allowing a prospective employer to contact listed references and past employers, and to obtain employment and background information. Compliant with FCRA disclosure requirements.

๐Ÿ“„ 1 signer๐Ÿ“… 30-day expiry๐Ÿท Employment & HR๐Ÿ”– reference-check, background, hiring, fcra, authorization, candidate

About this template

The Reference Check Authorization is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 1 signer (candidate) and, by default, expires 30 days after it is sent if left unsigned. It covers reference check, background, hiring, fcra, authorization, candidate. 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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# Reference Check Authorization **Authorization Date:** ___________ **Position Applied For:** ___________ **Department / Team:** ___________ **Location:** ___________ --- ## Section 1 โ€” Candidate Information **Full Legal Name:** ___________ **Other Names Used (maiden name, former name, etc.):** ___________ **Email Address:** ___________ **Phone Number:** ___________ **Mailing Address:** ___________ --- ## Section 2 โ€” Authorization to Contact References I, the undersigned candidate, hereby authorize **___________** ("Prospective Employer") and its designated agents to contact the references and former employers listed below for the purpose of verifying information I have provided and obtaining information relevant to my qualifications for the position described above. I authorize the individuals and entities listed below to provide truthful, complete, and accurate information to the Prospective Employer regarding my work history, performance, skills, conduct, attendance, eligibility for rehire, and related matters. --- ## Section 3 โ€” Professional References **Reference 1** Full Name: ___________

Fields (57)

authorization date
date ยท required
position applied
text ยท required
position department
text
position location
text
candidate full name
text ยท required
candidate other names
text
candidate email
email ยท required
candidate phone
phone ยท required
candidate address
textarea ยท required
employer name
text ยท required
ref1 name
text ยท required
ref1 company
text ยท required
ref1 title
text ยท required
ref1 relationship
select ยท required
ref1 phone
phone ยท required
ref1 email
email ยท required
ref1 years known
number ยท required
ref2 name
text ยท required
ref2 company
text ยท required
ref2 title
text ยท required
ref2 relationship
select ยท required
ref2 phone
phone ยท required
ref2 email
email ยท required
ref2 years known
number ยท required
ref3 name
text
ref3 company
text
ref3 title
text
ref3 relationship
select
ref3 phone
phone
ref3 email
email
ref3 years known
number
emp1 name
text ยท required
emp1 contact
text
emp1 contact info
text
emp1 dates
text ยท required
emp1 positions
text ยท required
emp2 name
text
emp2 contact
text
emp2 contact info
text
emp2 dates
text
emp2 positions
text
emp3 name
text
emp3 contact
text
emp3 contact info
text
emp3 dates
text
emp3 positions
text
edu1 name
text
edu1 degree
text
edu1 year
number
edu2 name
text
edu2 degree
text
edu2 year
number
salary auth
radio ยท required
separation auth
radio ยท required
rehire auth
radio ยท required
validity period
select ยท required
candidate signer name
text ยท required

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Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.

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