DISCLOSURE AND AUTHORIZATION FOR RELEASE OF INFORMATION
As part of our hiring background and investigation, we may obtain consumer reports to prepare an investigative
consumer report. The investigative consumer report may consist of contacting all listed prior employers to verify your
employment history. It may also include, but not limited to, credit information reports, criminal history reports and
driving history records. Under the provisions of the Fair Credit Report Act (15 USC at 1681-1681u) as amended,
before we can seek such reports, we must have your written permission to obtain the information. You have the right,
upon written request, to a complete and accurate disclosure of the nature and scope of the investigation. You are also
entitled to a copy of your Consumer Rights under the Fair Credit Reporting Act.
AUTHORIZATION AND RELEASE TO OBTAIN INFORMATION
Under the provisions of the Fair Credit Reporting Act, 15 USC, Section 1681 et seq, the Americans with Disability
Act and all applicable federal, state, and local laws, I hereby authorize and permit ARNOLD OIL COMPANY to obtain
a consumer report and/or investigative consumer report which may include the following:
- My employment records
- Records concerning any driving, criminal history, credit history, civil records, worker’s compensation (post-offer
only) and drug testing;
- (For truck drivers only) In accordance with the Department of Transportation Motor Carrier Safety Regulations;
Section 382.413, information concerning alcohol and controlled substance for the past two years;
- Verification of my academic and/or professional credentials, and information and/or copies of documents from any military service records.
I understand that an “investigative consumer report” may include information as to my character, general reputation,
personal characteristics, and mode of living which may be obtained by interviews with individual with whom I am
acquainted or who may have knowledge concerning any such items of information
I agree that a copy of this authorization has the same effect as the original.
I hereby release and hold harmless any person, firm, or entity that discloses matters in accordance with this
authorization, as well as ARNOLD OIL COMPANY from liability that might otherwise result from the request for use
of an/or disclosure of any or all of the foregoing information.
I understand and acknowledge that under provision of the Fair Credit Reporting Act I may request a copy of my
consumer report from the consumer reporting agency that compiled the report, after I have provided proper
I hereby authorize ARNOLD OIL COMPANY to obtain and prepare an investigative consumer report as set forth
above, as part of its investigation of my employment application.