AUTHORIZATION FOR RELEASE AND USE OF CONSUMER REPORTS
As part of purposes, including promotion, transfer, or retention during the term of my employment, I understand that a criminal records check, motor vehicle records check, and/or other consumer reports may be obtained by The Blick Center.
I understand that a Consumer Reporting Agency may not give out information about me without my written consent. I understand that no report containing medical information about me will be provided to The Blick Center without my specific prior consent releasing such information which is in addition to my general authorization, below.
I hereby authorize The Blick Center to request reports from the Ohio Bureau of Criminal Identification and Investigation, the Ohio Bureau of Motor Vehicles, and other Consumer Reporting Agencies to be used for employment related purposes, including hiring, promotion, transfer, or retention now or in the future.
I hereby authorize and request that any present or former employer, school, police department, financial institution, or other person having information or knowledge about me, furnish such information to the bearer of this authorization in connection with an application for employment.
I agree to release and discharge The Blick Center, its employees, officers, agents, affiliates, and shareholders from any and all claims, rights of action or liability of any kind or nature that could result from The Blick Center's use or reliance upon the information contained in such consumer reports.
NOTICE OF USE OF CONSUMER REPORTS
Ohio law requires The Blick Center to fingerprint employees for the Ohio Bureau of Criminal Identification and Investigation to perform a criminal records check. If you have lived outside of the State of Ohio, you must also obtain an FBI background check. In addition to the criminal records check, The Blick Center may obtain consumer reports from a Consumer Reporting Agency as part of its procedure for processing your employment application and/or for other employment processes, including promotion, transfer, or retention during your employment. The Blick Center typically only requests consumer reports which provide information regarding criminal records and motor vehicle records; however, The Blick Center may also request a consumer report that includes information regarding your credit, character, general reputation, personal characteristics, and mode of living.
The Blick Center will not obtain information from a Consumer Reporting Agency without your written permission.