Fill and Sign the Denial Employment on Form

{ Insert Date } Insert Name Insert Address Insert City, State, and Zip Code Dear __________ : As you authorized, { Insert Company Name } has recently completed a pre-employment background check as part of our employee selection process. The purpose of this letter is to inform you that there is information in the report we received which, if accurate, would prevent us from offering you employment at this time. A copy of this report is enclosed. If, after reviewing the report, you believe that information contained in it is inaccurate and/or you want to know what information in the report falls outside of our company guidelines, we ask that you contact us directly within five (5) days. Otherwise, we will assume that you no longer wish to pursue employment with us. This report was furnished to us by { Insert Reporting Agency Name, Address, and Telephone Number }. Please understand that while { Insert Reporting Agency Name } provided the report, they did not make this decision, and they are unable to provide you with the specific reasons why { Insert Company Name } made this decision. Enclosed along with the report is a description of your rights under the federal Fair Credit Reporting Act. Under the law, you have the right to dispute, directly with { Insert Reporting Agency Name } any information in this report. They will reinvestigate the disputed information free of charge and either record the current status of the disputed information of delete the item(s) within 30 days of receiving your dispute. If the information is found to be inaccurate or incomplete or cannot be verified, they will promptly delete that item or modify it. They will provide notification of the dispute to any person who provided the information you dispute within five (5) business days of receiving your notice of dispute. The enclosed Summary of Your Rights Under the Fair Credit Reporting Act provides additional information about your rights. You have the right to obtain an additional copy of the enclosed report if your request it from { Insert Reporting Agency Name } within 60 days of when you receive this notice. Sincerely yours, ____________________________________ (Signature) Enclosures: Summary of Consumer Rights Copy of Consumer Report