I, _____________________, hereby authorize
The Hawkins Firm, Inc., its subsidiaries, affiliates, employees and agents
to conduct a complete, unlimited background investigation on myself. I
fully understand and authorize the making of inquiries of and request
for information from, but not limited to, any individuals, present and
former employers, schools and colleges, credit bureaus, medical information
bureaus, criminal investigation bureaus, courts, local, state and/or federal
agencies, and any other entities that may possess information concerning
me.
I also authorize the above described sources
to release all information requested and I release those sources from
any liability arising from any information released that stems from this
request. I understand that such records may include, and I specifically
authorize the company to perform the following checks on my credentials:
reasons for termination of employment, reasons for discharge from military
service, criminal history record to include any and all arrest and conviction
records, worker’s compensation claim files, educational records,
motor vehicle reports, credit reports and any other information the company
deems appropriate and that would not otherwise be obtainable without my
prior consent.
I understand that the information that is obtained from this background investigation is limited to the use of this background investigation. The Hawkins Firm, Inc., its subsidiaries, affiliates, employees and agents are held under the conditions of confidentiality. The client assumes responsibility for the subsequent use or disclosure of the background investigation.
Furthermore, I agree to hold harmless The Hawkins Firm,
Inc. et al for any and all actions of their client(s) that do not conform
to any and all local, state, or federal laws, regulations, labor agreements,
or other similar legal requirements. I certify that all statements made
by me herein are true and correct.
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