The Criminal Record Release Authorization Form is essential for organizations conducting background checks in compliance with U.S. federal and state regulations. This document is typically used during employment screening, licensing applications, or security clearance processes. It must include specific elements required by the FCRA and state laws, such as the subject's explicit consent, personal identifiers, and the scope of the authorization. The form serves as a protective measure for both the requesting organization and the subject by ensuring proper authorization for access to sensitive personal information.
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1. Personal Information: Full name, date of birth, social security number, current address
2. Authorization Statement: Clear statement of consent to release criminal records
3. Purpose Declaration: Stated purpose for requesting the criminal record
4. Duration of Authorization: Time period for which the authorization is valid
5. Signature Block: Date and signature lines for the subject and witness
1. Previous Addresses: List of previous residences, used when conducting comprehensive background checks spanning multiple jurisdictions
2. Alias Names: List of other names used by the subject, required when the subject has legally used other names
3. Specific Agency Authorization: Authorization for specific law enforcement agencies, used when records from particular agencies are needed
1. Identity Verification Documents: Copies of government-issued ID or other verification documents
2. Privacy Notice: Detailed information about how the personal information will be used and protected
3. Rights Disclosure: Statement of rights under relevant laws (FCRA, state laws)
Relevant legal definitions
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