Scribd
Upload
257 views2 pages

Screening Disclosure and Authorization

This document provides consent and authorization for HireRight to process personal data for background screening checks including education, employment, identity, and storing data for 12 months. It allows sharing results with the prospective employer and contacting references.

Uploaded by

Rahul Garg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
257 views2 pages

Screening Disclosure and Authorization

This document provides consent and authorization for HireRight to process personal data for background screening checks including education, employment, identity, and storing data for 12 months. It allows sharing results with the prospective employer and contacting references.

Uploaded by

Rahul Garg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

CONSENT AND AUTHORIZATION:

I hereby provide my authorization and consent for HireRight, on behalf of Requestor to:

1. process my Personal Data in accordance with the verifications set out in the Information Notice and below:

• Self

Adjudication

3.0

• Global This check confirms academic credentials by verifying relevant education as determined by the Requestor, for

Education example a degree, certificate or diploma claim directly with the awarding institution or its authorized agent

• Global A check to confirm your work history. You will be asked to provide company name, location dates worked and

Employment position or title held. This information will then be verified by contacting HR or official sources at each company to

be verified. The Requestor has also requested that your reason for leaving prior roles is collected. This list is a pre-

determined list and you will complete this within the screening form. The same list will then be sent to your prior

employers to complete. Any discrepancies will be notified to the Requestor. Self-employment (if applicable) will be

verified via documentation provided by you.

• Global ID You will be asked to upload a copy of your government issued ID along with completing some basic personal

Check information within Applicant Centre 2.0 (AC2.0). Where your ID document has a machine readable code (MRZ) the

MRZ will be reviewed against the information you provided to evaluate the validity of the ID. In cases where your ID

document does not have an MRZ code, a copy of the ID will be sent to a vendor located in the country the ID is

issued from who will perform relevant checks where such a vendor is available to validate your ID. The results of

such verification will be outlined in the Screening Report. Further information as to sources and information

returned can be made available on request

2. contact Source(s) in order to verify the Personal Data provided by me during the screening process and to provide to Source(s) my:

a. name

b. date of birth

c. ID Number (where lawful); and

d. Supporting documents provided by myself or via my Prospective Employer during the pre-employment screening process

3. transfer the Personal Data (including sensitive Personal Data) outside of either the United Kingdom, the EEA or my country of

residence to Source(s) and/or Representatives, if required to complete the verifications;

4. store the Personal Data for a period of 12 months on the HireRight Portal;

5. to prepare the Report and share with my Prospective Employer.

I further authorise any third party source contacted by HireRight to respond to any enquiries made and to provide the Personal
Data requested of them, where applicable to the background screening. For the avoidance of doubt this may include:

• Current Employer

• Previous Employer

• Academic Institutions

• Professional Bodies

I confirm that my consent is provided voluntarily and that I understand that I can withdraw my consent at any time. To do so
please contact [email protected]

I declare to the best of my knowledge that any information that I have provided with my application for employment is true,
complete and correct.
Candidate Last Name Garg First Rahul Middle

Candidate Signature Date Sep 28, 2023

Electronic Signature
Email: [email protected]
IP Address: 49.43.152.11, 107.162.7.30
Dated: Sep 28, 2023: 01:14 Pacific Standard Time

You might also like