Property Owners' Exchange


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EMPLOYMENT CONSUMER REPORT AUTHORIZATION

A consumer reporting agency may furnish an investigative consumer report for employment purposes only if the employer certifies that the consumer has authorized in writing that the report be obtained.

I hereby affirm that my answers to the foregoing questions are true and correct and that I have not knowingly withheld any fact or circumstance which would, if disclosed, affect my application unfavorably.

I acknowledge receipt of the Employment Consumer Report Disclosure and the summary of consumer rights entitled, A Summary of Your Rights Under the Fair Credit Reporting Act.

I authorize you to secure an investigative consumer report for employment purposes which may include, but not necessarily be limited to, a criminal history records investigation, an MVA driving record, verification of education and verification of employment history.

I authorize your consumer reporting agency, Property Owners' Exchange Inc., to verify any and all information contained in this application and to inquire into my character, general reputation, personal characteristics and mode of living. I release all concerned from liability in connection with any information they give. Any misrepresentation made in this application will be sufficient cause for cancellation of the application and/or for separation from the company's service if the company employs me.

I further authorize you to secure an investigative consumer report at any time, and any number of times, before, during, and after my employment, if in your discretion, you have a legally permissible and legitimate business need for the information requested.

I understand that I have the right, under Section 606(B) of the federal Fair Credit Reporting Act, to make a written request within a reasonable time for a complete and accurate disclosure of the nature and scope of the investigative consumer report.

Signature______________________ Date _____________