ACKNOWLEDGMENTS & AUTHORIZATIONS REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES
Disclosures:
Investigative Consumer Report:
Carlyle Van Lines Inc. (the "Company") may request an investigative consumer report about you from HireRight, LLC ("HireRight"), a consumer reporting agency, in connection with your employment, application for employment, or engagement for services (including independent contractor or volunteer assignments, as applicable). An "investigative consumer report" is a background report that includes information from personal interviews (except in California, where that term includes background reports with or without information obtained from personal interviews), the most common form of which is checking personal or professional references through interviews with sources such as your former employers and associates, and other information sources. The investigative consumer report may contain information concerning your character, general reputation, personal characteristics, mode of living, or credit standing. The types of background information that may be obtained include, but are not limited to criminal history, litigation history, motor vehicle record and accident history, social security number verification, address and alias history, credit history, verification of your education, employment and earnings history, professional licensing, credential and certification checks, drug/alcohol testing results and history, military service, and other information.
You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the Company.
Ongoing Authorization:
If the Company hires you or contracts for your services, the Company may obtain additional consumer reports and investigative consumer reports about you without asking for your authorization again, throughout your employment or your contract period, as allowed by law.
Additional State Law Notices:
Please see the "Additional State Law Notices" for California, Massachusetts, Minnesota, New Jersey, New York, and Washington that are provided below, as applicable. A California disclosure and summary of your rights under California Civil Code Section 1786.22, and a copy of New York Article 23-A, are being provided to you separately.
Summary of Rights under the Fair Credit Reporting Act:
A summary of your rights under the Fair Credit Reporting Act is being provided to you separately.
San Francisco Fair Chance Ordinance Official Notice: A copy of the San Francisco Fair Chance Ordinance Official Notice is being provided to you separately.
HireRight Privacy Policy:
Information about HireRight's privacy practices is available at www.hireright.com/Privacy-Policy.aspx.
Acknowledgments & Authorization:
I acknowledge that I have received and carefully read and understand the separate "Disclosure and Authorization Regarding Background Investigation for Employment Purposes" and the separate "Summary of Rights under the Fair Credit Reporting Act" that have been provided to me by the Company. I also acknowledge receipt of and that I have carefully read and understand (as applicable), the separate California Disclosure and Summary of Rights under California Civil Code Section 1786.22; the separate New York Article 23-A; and the separate San Francisco Fair Chance Ordinance Official Notice that have been provided to me. By my signature below, I authorize the preparation of background reports about me, including "investigative consumer reports" by HireRight. I understand that these reports will be furnished to the Company and its designated representatives and agents for the purpose of evaluating my eligibility for employment, engagement for services, promotion, retention, or other lawful employment purposes. I acknowledge that if I am hired or contracted by the Company, this consent will apply, and the Company may obtain additional background reports from HireRight or other consumer reporting agencies as allowed by law, without requiring my authorization again during my employment or contract period.
I am aware that if the Company obtains a credit report about me, it will only do so when the information is substantially relevant to the duties and responsibilities of the position for which I am being considered.
I understand that the information provided in my employment, contractor, or volunteer application, as well as any information disclosed by me during my employment or assignment, may be used to obtain and evaluate background reports. I acknowledge that nothing in this authorization should be construed as an offer of employment or contract for services.
I acknowledge that the background reports may include information obtained from various sources, including but not limited to government agencies, educational institutions, employers, law enforcement, courts, testing agencies, credit bureaus, motor vehicle records agencies, and other public and private record/data repositories. I hereby authorize these entities to disclose information about me to the consumer reporting agency and its agents. The disclosed information may cover various aspects, such as employment and earnings history, education, credit, motor vehicle and accident history, drug/alcohol testing results, criminal history, litigation history, military service, professional licenses, credentials and certifications, social security number verification, address and alias history, and other relevant information.
By signing below, I also confirm that all personal information provided with this form or during the background investigation process is true, accurate, and complete. I understand that any dishonesty or material omission may disqualify me from consideration for employment.
I agree that copies of this document in faxed, photocopied, or electronic form, including electronically signed copies, shall be considered as valid as the original signed document. Furthermore, I acknowledge that I have received additional state law notices, which I have reviewed and read.
Additional State Law Notices:
Please be advised that additional state-specific notices apply.
CALIFORNIA: Pursuant to section 1786.22 of the California Civil Code, you have the right to access and review the file maintained on you by the consumer reporting agency during normal business hours. If you wish to obtain a copy of this file, you can do so by visiting the consumer reporting agency's offices in person, during normal business hours and upon providing proper identification. Please note that you may be required to pay the actual copying costs for the requested documents. Alternatively, you can request a copy of the file by certified mail.
Furthermore, you have the option to receive a summary of your file by telephone. To request a telephone summary, you need to submit a written request along with proper identification. The consumer reporting agency has staff members who are trained to assist you and explain the contents of your file, including any coded information. Additionally, if there is any coded information in your file, the consumer reporting agency will provide a written explanation of its meaning.
Please be aware that these rights are provided to you under the California Civil Code, and the consumer reporting agency is obligated to comply with these requirements.
If you appear in person, you may be accompanied by one other person, provided that person furnishes proper identification. "Proper identification" includes documents such as a valid driver's license, social security account number, military identification card, and credit cards. If you cannot identify yourself with such information, the consumer reporting agency may require additional information concerning your employment and personal or family history to verify your identity.
HireRight, LLC ("HireRight") will prepare the background report for the Company. HireRight is located and can be contacted at 3349 Michelson Drive, Suite 150, Irvine, CA 92612, (800) 400-2761. Information about HireRight's privacy practices is available at www.hireright.com/Privacy-Policy.aspx.
MASSACHUSETTS: Upon request to the Company, you have the right to know whether the Company requested an investigative consumer report about you and, upon written request to the Company, you have the right to receive a copy of any such report. You also have the right to ask the consumer reporting agency (e.g., HireRight) for a copy of any such report.
MINNESOTA: You have the right in most circumstances to submit a written request to the consumer reporting agency (e.g., HireRight) for a complete and accurate disclosure of the nature and scope of any consumer report the Company ordered about you. The consumer reporting agency must provide you with this disclosure within 5 days after (i) its receipt of your request or (ii) the date the report was requested by the Company, whichever date is later.
NEW JERSEY: You have the right to submit a request to the consumer reporting agency (e.g., HireRight) for a copy of any investigative consumer report the Company requested about you.
NEW YORK: You have the right, upon written request to the Company, to be informed of whether the Company requested a consumer report or an investigative consumer report about you. Shown above is the address and telephone number for HireRight, the consumer reporting agency used by the Company. You may inspect and receive a copy of any such report by contacting that consumer reporting agency. A copy of Article 23-A of the New York Correction Law is also provided below.
WASHINGTON STATE: If the Company requests an investigative consumer report, you have the right, upon written request made to the Company within a reasonable period of time after your receipt of this disclosure, to receive from the Company a complete and accurate disclosure of the nature and scope of the investigation requested by the Company. You are entitled to this disclosure within 5 days after the date your request is received or the Company ordered the report, whichever is later. You also have the right to request a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.