Employee authorization to release information form

I hereby authorize to obtain information about me from my former employers, educational institutions, credit sources, and other listed references.

I hereby authorize my former employers, educational institutions, credit sources, and other references listed on my employment application to disclose any information they may have pertaining to my work performance, cooperativeness, ability to get along with co-workers, and other qualifications for employment to .

I hereby release , any former employers, educational institutions, credit sources, and other references listed on my employment application from any liability arising from the provision or use of this information or any other information reasonable and necessary to the employment process.


Signature: _____________________________

Date: ___________________
Name:
Address:
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