Background Check Authorization Template

Collects a candidate’s identity details, address history, Social Security number, and consent for a background check. Employers or screening teams use it during candidate screening.

Use this template free

When to use it

• Before ordering a background check for a job candidate
• When collecting consent alongside screening details
• For a consistent intake process across candidates
• When updating a candidate’s screening information

What it asks

1. Candidate full name
2. Email address
3. Phone number
4. Other names used
5. Date of birth
6. Address history
7. Social Security number
8. I authorize the organization receiving this form to obtain a background check on me.

Why it should be encrypted

A birth date, Social Security number, and address history could be misused if exposed. Only staff who need these details to arrange or manage the screening should be able to read them.

Tips

• Explain what the background check covers and who will receive the information.
• Ask only for details needed by your screening process.
• Limit access to completed responses to the staff handling the screening.

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