RELEASE AND CONSENT FOR A BACKGROUND CHECK:

I certify that all answers given on this site are true and complete to the best of my knowledge. I authorize the investigation of all matters contained in the information I provided and hereby give my EMPLOYER (hereafter referred to as “EMPLOYER”) and its agent NATA Compliance Services and Farmingdale Republic Airport (hereafter referred to as "AGENT"), permission to contact the appropriate parties and all others listed herein, and hereby release EMPLOYER and its AGENT from any liability as a result of such contact. I hereby consent to allow the AGENT to conduct background checks on me, including but not limited to Employment Verifications, Social Security Traces, Motor Vehicle Records, Criminal Records, and to report the results of such a check to EMPLOYER. I understand and authorize the release of all such information to EMPLOYER and AGENT

I agree that EMPLOYER may, at its sole discretion, deny me employment, require that I be removed from a temporary assignment or discharge me from employment if the information received in the investigation is considered unfavorable by EMPLOYER. Any offer of employment or continuing employment (if currently employed) by EMPLOYER is subject to and conditioned upon EMPLOYER'S review of such information.

In the event of an offer of employment, subsequent employment, and/or continuing employment, I understand that false, misleading or omitted data in the information I provided for my background check shall be grounds for withdrawal of an offer of employment or discharge at any time.

Notice to Applicant/Employee regarding consumer rights under the Fair Credit Reporting Act:

The Fair Credit Reporting Act (FCRA) governs the activities of consumer credit reporting agencies, as well as the users of the information procured from these agencies. A consumer report contains information on a consumer's (job applicant's) character, reputation, and other personal data. EMPLOYER screen job applicants procure these reports. The EMPLOYER has agreed to comply with all aspects of the Fair Credit Reporting Act and any applicable Federal or State equal employment opportunity law or regulation.

Among other things, the FCRA prohibits Users (EMPLOYER) from obtaining consumer reports unless the EMPLOYER discloses to the applicant, in writing, (The “REQUEST, AUTHORIZATION, CONSENT AND RELEASE FOR BACKGROUND INFORMATION” form) that such a report may be acquired. This disclosure must be in the form of a document that consists solely of the disclosure that a consumer report may be obtained for employment purposes. This release must also state that if the EMPLOYER denies employment based on the information from an AGENT report, the applicant may make written inquiry requesting a disclosure of the nature and scope of the investigation.

If an applicant makes such a request, AGENT will supply a complete and accurate disclosure of the nature and scope of the investigation within five days of the request. AGENT will reexamine any item the applicant holds to be incorrect at no additional charge and, if necessary, supply a corrected report to the original requester. AGENT keeps copies of each investigation for a period of not less than one year.

If a consumer reporting agency or user of such information willfully fails to comply with and FCRA requirements, the Consumer Reporting Agency and its agents are responsible to the subject of the report. AGENT complies with all the regulations set forth by the FCRA.

In addition, any individual who knowingly and willfully obtains information from a consumer reporting agency under false pretenses will be fined not more than $5000.00 and imprisoned not more than one year or both.

AGENT complies with and supports all provisions of the Fair Credit Reporting Act (FCRA). We urge all EMPLOYER to review its restrictions and requirements. The Act's citation is Public Law 91-508, Title 15, U.S.C. Sections 1681, et seq. Please note, particularly, the Permissible Purposes of Reports, as well as requirements on Users of Consumer Reports and Obtaining Information Under False Pretenses.
I have read this release and consent form and understand all of its terms. I execute it voluntarily and with full knowledge of its significance.