Extended Background Check Authorization Form
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Business Entreprise HR RH check vérifier Information Records Background Contexte Criminal Criminel Background Check Information Form Formulaire d'information sur la vérification des antécédents Background Check Information Forms Formulaires d'information sur la vérification des antécédents
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Extended Background Check (EBC) Authorization Form CONSENT TO PERFORM CRIMINAL HISTORY BACKGROUND CHECK IN COMPLIANCE WITH THE FCRA (FAIR CREDIT REPORTING ACT) Date: Last Name Middle Name First Name Maiden and/or Other Last Names Used Address Phone Number City (1) (2) State Zip Code List last two Counties that you lived in Date of Birth Social Security Number Circle One: Male Female This authorization and consent for release of personal information acknowledges that Oklahoma Board of Social Work Licensure (Hereafter referred to as "Company") and/or its agent, Trak-1 Technology, may now conduct investigations whether the records are of a public, private or confidential nature..
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