Pennsylvania Applicant Information Release

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					                                                           Applicant Information
                           Release
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                           This Applicant Information Release form can be used by the Company for the
                           purpose of eliciting information about the applicant from former employers,
                           educational institutions, and personal references listed by the applicant in
                           the application for employment with the company.
             ®




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                                                                                                Attorney Drafted
                         APPLICANT INFORMATION RELEASE

This Agreement is made and effective on this ____ [Month] ____ [Date], 20____, by and
between _____________________________ [Instruction: Insert the name of employee],
located at __________________________________________ [Instruction: Insert the address
of the employee] ("Employee") and _____________________________ [Instruction: Insert
the name of company], with a place of business at _______________________________
[Instruction: Insert the address of the company] ("Company ").

In connection with my application for employment with the Company, I hereby agree as
follows:

I hereby authorize any person, educational institution, or company I have listed as a reference on
my employment application to disclose in good faith any information they may have regarding
my qualifications and fitness for employment. I will hold __________ [Instruction: Insert the
name of company], any former employers, educational institutions, and any other persons
giving references free of liability for the exchange of this information and any other reasonable
and necessary information incident to the employment process.


For: EMPLOYEE                                      For: COMPANY



Signed:_________________________________ Signed:_______________________________

Name:                                              Name:

Date:                                              Date:
Note: Carefully read and follow the Instructions and Comments contained in this document for
your customization to suit your specific circumstances and requirements. You will want to
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Description: This Applicant Information Release form is used by an employer for the purpose of eliciting information about an applicant from former employers, educational institutions, and personal references listed by the applicant in the application for employment. This form is useful for employers located in Pennsylvania when checking references supplied by potential employees. Many references will ask for a release before providing information, in order to protect themselves from any potential liability that may arise from disclosing information regarding the applicant. This release notifies the references that the applicant has consented to the release of such information.
This document is also part of a package Essential Pennsylvania Legal Documents 86 Documents Included