Employment Screening Associates Applicant Release Form
This file is an authorization and consent form for the release of information by Employment Screening Associates. It covers background verification, including education, employment history, and criminal records. The form is a crucial part of the employment process.
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How do I fill this out?
To fill out this form, please provide the requested information accurately. Make sure to provide addresses for the last seven years. Double-check all information before signing and dating the form.

How to fill out the Employment Screening Associates Applicant Release Form?
1
Provide your full name, including first, middle, and last names.
2
List any maiden or other names you have used.
3
Fill in your current and previous addresses for the last seven years.
4
Provide your Social Security Number, date of birth, and driver's license information.
5
Sign and date the form after completing all requested information.
Who needs the Employment Screening Associates Applicant Release Form?
1
Job applicants need this form to authorize background checks for employment.
2
Employers use this form to verify the accuracy of applicants' information.
3
Human resources departments need this form to comply with employment policies.
4
Screening agencies require this form to perform background checks.
5
Applicants with criminal history must disclose their past records using this form.
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What are the instructions for submitting this form?
Upon completing the form, submit it to the designated contact provided by your prospective employer. This may include emailing the form, faxing it to the provided number, or submitting it through an online submission portal. Ensure all information is accurate and the form is signed. For questions, contact your prospective employer's HR department.
What are the important dates for this form in 2024 and 2025?
Ensure to include any deadlines provided by your prospective employer, typically within 30 days from receipt of the form.

What is the purpose of this form?
The purpose of this form is to authorize Employment Screening Associates to perform a comprehensive background check on job applicants. This includes verifying education, employment history, credit history, motor vehicle records, and any criminal history. The form ensures that the employer can make informed hiring decisions while maintaining compliance with employment policies.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Name: Enter your first, middle, and last names.
- 2. Maiden Or Other Names: Provide any additional names you have used.
- 3. Current Address: Enter your current street address, city, state, and zip code.
- 4. Previous Addresses: List cities, states, and zip codes of previous addresses for the last seven years.
- 5. Social Security Number: Enter your Social Security Number for identification purposes.
- 6. Date of Birth: Provide your date of birth to confirm your identity.
- 7. Driver's License Information: Include your driver's license number and the state of issuance.
- 8. Email Address: Provide a valid email address for communication.
- 9. Phone Number: Enter a phone number where you can be reached.
- 10. Criminal History: Disclose any criminal convictions in the last seven years with relevant details.
- 11. Signature and Date: Sign and date the form to complete it.
What happens if I fail to submit this form?
Failing to submit this form can result in delays or disqualification from the employment process. It's essential to provide all required information accurately.
- Employment Delays: Submitting late can delay the hiring process.
- Disqualification: Incomplete forms may lead to disqualification from consideration.
- Missed Opportunities: Failure to submit may result in missing out on potential job opportunities.
How do I know when to use this form?

- 1. Job Applications: When applying for a new job and the employer needs to verify your background.
- 2. Employment Verification: During employment verification processes conducted by your current employer.
- 3. Background Checks: When required to undergo background checks for job or security clearance.
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