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Background Check Authorization Form

Background Check Authorization Form — a 7-page PDF form with 34 fill-in fields.

  • 7 pages
  • 34 fill-in fields
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Not yet rated1 downloadsUpdated Aug 21, 2026
First-page preview of Background Check Authorization Form
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Information you will need

  • Who's ordering the background check?
  • Who's conducting the background check?
  • What's the background check company's address?
  • What's the background check company's phone number?
  • What's the applicant's first name?
  • What's the applicant's middle name?
  • What's the applicant's last name?
  • What's the applicant's date of birth?
  • What's the applicant's SSN?
  • What's the applicant's driver's license number?
  • What state issued the driver's license?
  • What's the applicant's phone number?
  • What's the applicant's email?
  • What's the applicant's prior first name?
  • What's the applicant's prior middle name?
  • What's the applicant's prior last name?
  • What's the applicant's second prior first name?
  • What's the applicant's second prior middle name?
  • What's the applicant's second prior last name?
  • What's the applicant's third prior first name?
  • What's the applicant's third prior middle name?
  • What's the applicant's third prior last name?
  • What's the applicant's current address?
  • What's the applicant's prior address?

…and 10 more fields in the PDF.

Completed by the employer.

The form includes 1 signature line.

PDF facts

Format
PDF
File size
1.2 MB
Pages
7
Version
1