This document grants a company authorization to obtain information relating to the
applicant's previous employment and education and provides a release by the applicant
to the company in respect of obtaining such information. This document contains
standard language but can be modified to fit the needs of the employer. This release is
useful to a small business that is going through a hiring process and seeking to obtain
further information on applicants.
Applicant Information Release
APPLICANT INFORMATION RELEASE
THIS APPLICANT INFORMATION RELEASE AGREEMENT (the “Agreement”),
made this ____ day of ______________, 2______, is by and between __________________ (the
“Applicant”), whose residential address is ____________________ and
______________________ (the “Company”), whose registered office address is
THE UNDERSIGNED BEING THE APPLICANT HEREBY authorizes the Company to
obtain from any person, educational institution or company, any and all information relating to
the Applicant’s employment including the Applicant’s fitness for employment.
THE UNDERSIGEND HEREBY FURTHER authorizes any person, educational
institution or company to release any and all information relating to my employment and fitness
for employment to the Company, upon receiving such request for information from the
THE UNDERSIGNED hereby agrees indemnifies and holds harmless the Company and
any of its employees, former employees, success or assigns, any person, educational institution
or company from receiving and providing such information in respect to the Applicant.
THIS AGREEMENT shall be governed by and construed in accordance with the laws of
the State of _______________ applicable therein.
THIS AGREEMENT be executed by facsimile and in any number of counterparts, each
of which when so executed shall be deemed to be an original and all of which taken together
shall constitute one and the same instrument.
THIS AGREEMENT shall enure to the benefit of the Applicant’s successors and assigns
and shall be binding upon the Applicant’s heirs, administrators, executors, legal personal
representatives, successors and permitted assigns. DATED this _____ day of
I have authority to bind the Company.