AUTHORIZATION TO PULL CREDIT FOR EMPLOYMENT PURPOSES by lyr14869

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									                 AUTHORIZATION TO PULL CREDIT FOR EMPLOYMENT PURPOSES:



Date: ________________

Employee’s Name: _____________________________________

List any former or alias names: ___________________________________________

SSN # : ___________________________________ Date of Birth: ______________




I hereby authorize Fidelity Bank of Florida (Fidelity) to pull a credit bureau investigation report for
employment investigation purposes. I understand that the information contained within the credit report will
be reviewed by Human Resources personnel and that such information is a partial basis of employment. I
further understand that if employed with Fidelity, a credit report may be periodically pulled for promotions,
position changes or continued employment.

I acknowledge that Fidelity is relying on third party information and I therefore hold harmless Fidelity, its
owners, Officers, Directors, agents or employees from any and all liability arising form erroneous or omitted
information contained in my credit bureau report.

If denied employment based on information obtained from the credit bureau report, I will receive written
notice detailing the information found and the agency used to pull the report.


Signature: ___________________________________________

								
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