Consent Form Status: Candidate Request Created Job Name: Company Name: ATT Standard Candidate Application ATT
Sections: Consumer Report Consent *
Note: * denotes required information Consumer Report Disclosure and Consent -------------------------------------------------------------------------------Consumer Disclosure This is to inform you that a consumer report or an investigative consumer report is being obtained from a consumer reporting agency (First Advantage) for the purpose of evaluating you for employment, promotion, reassignment or retention as an employee. This report may contain information regarding your education, past employment, criminal record, if any and driving record. This report will not contain any information in regard to bank, credit card, loan or financial information. No report may be requested until you sign the Consumer Authorization. This Consumer Authorization shall be effective for the duration of your employment (if you are employed) and reports may be obtained about you during the course of your employment. If you ask, you will be provided with information regarding the nature and scope of any investigative consumer report adverse employment action based on any such report, you will be given a copy of the report and a summary of your rights. After taking any adverse employment action against you based on any such report, you will be notified and informed of your rights. The consumer reporting agency contact information is listed below in bold: First Advantage P.O. Box #3367 Seminole, FL 33775-3367 800-321-4473, ext. 8 Attached is a copy of �A Summary of Your Rights Under the Fair Credit Reporting
Act� and if you are in California, a copy of �A Summary of the Provisions of California Civil Code section 1786.22�. -------------------------------------------------------------------------------Consumer Consent I authorize any subsidiary or affiliate of AT&T Inc., (hereafter referred to as AT&T or the Company) to obtain a consumer report or an investigative consumer report regarding me. I understand that these reports may contain information regarding my education, past employment, criminal record, if any, and driving record. Furthermore, I understand that AT&T does not intend to use this authorization to obtain access to any bank records, credit card, loan or any other financial information. I authorize the Company to use this report in deciding whether to hire me or, if I am hired, whether to continue my employment or make other employment related decisions about me. I hereby authorize and request any present or former employer, school, police department, financial institution, agency or other persons having personal knowledge about me, to furnish First Advantage with any and all information in their possession regarding me, including consumer report information that may include motor vehicle records. I am willing that a photocopy of this authorization be accepted with the same authority as the original, and I specifically waive any written notice from any present or former employer who may provide information based upon this authorized request. I understand and agree that AT&T may refuse to hire me or, if employed, terminate my employment if I provide false or misleading information above. I understand that this Authorization shall be effective for the duration of my employment (if I am employed), and that reports may be obtained about me during the course of my employment.I have signed this Authorization freely, knowingly, and voluntarily. Electronic Signature * (Type Name) Candidate Name * Submit Date * (MM/DD/YYYY) California, Oklahoma, and Minnesota Applicants: Check box if you wish to receive a copy of the Report when the report is provided to the Company. Yes -------------------------------------------------------------------------------PRINT A COPY OF THIS COMPLETED DIGITAL CONSENT FORM IN ORDER TO VIEW IMPORTANT FCRA INFORMATION.
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