Notification and Authorization for Consumer Reports and Investigative Consumer Reports Pursuant to the Fair Credit Reporting Act, [15USC 1681]

This document shall serve as notification to you that Bexar County Medical Society, Staffing Services, and/or any of its subsidiaries (hereinafter collectively referred to as BCMS) may request a consumer report for the purpose of evaluating you for employment.  This authorization may also be used at a later date to obtain a consumer report or an investigative consumer report for purposes including, but not limited to, your promotion, reassignment, or retention as an employee.  This authorization shall remain on file and will serve as ongoing authorization for BCMS to request consumer reports and/or investigative consumer reports at any time during you employment period.

This release and authorization acknowledges that you understand that BCMS may now, or at any time during your employment, conduct verifications of, including, but not limited to, you education, previous employment, credit history, driving record, military records and public records, social security number, and previous and current addresses. Additionally, this notification is authorization to contact personal references, obtain screening for the presence of drugs or alcohol, and obtaining criminal history information pertaining to you which may be maintained by Federal, State, County, or Local criminal justice agencies, court houses or criminal record repositories.

This notification and release are made pursuant to the provisions of the Fair Credit Reporting Act, Title VI [15USC 1681].  If any adverse action is contemplated based on any information contained in the consumer report or investigative consumer report, BCMS will, prior to any action being taken, provide to you the report along with a copy of your rights under this Act.

I have read and understand this consent and hereby authorize BCMS to obtain consumer reports and/or investigative consumer reports regarding my employment. I acknowledge that I have signed the permission slip at employment.

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