HR Suit Section Form

HR Suit Section Form

Purpose: This form collects applicant personal, employment, education, reference information and specific disclosures regarding civil litigation, legal actions, or suits (the "Suit Section"). Completion of this form is a required part of the hiring process. Incomplete or false information may disqualify an applicant or later subject the applicant to disciplinary action, up to and including termination.

Personal Information

Position Information

Available Start Date:    Desired Salary:

Employment History (Most Recent First)

Education

References

Suit Section — Litigation and Legal Actions Disclosure

Have you ever been a party to a civil lawsuit, administrative proceeding, arbitration, or other legal action (whether as plaintiff, defendant, respondent, or witness) that is related to employment, professional conduct, fiduciary duties, or alleged criminal activity?

Does the disclosed matter include a confidentiality provision, sealing order, or non-disclosure agreement that would limit the company’s ability to investigate or verify facts?    Yes No

Legal Disclosures and Authorizations

At-Will Employment: If hired, I acknowledge that my employment relationship with the company is at-will, which means either I or the company may terminate the employment relationship at any time, with or without cause, and with or without notice, unless a written agreement signed by authorized company representatives states otherwise.

Equal Opportunity: The company is an equal opportunity employer and does not discriminate on the basis of protected characteristics. Employment decisions will be made in accordance with applicable law and company policy.

Authorization to Verify and Release of Claims: I authorize the company, its agents, and representatives to contact my current and former employers, references, educational institutions, and other third parties to verify any information I have provided and to obtain background, criminal record, and credit information where permitted by law. I release such third parties from all liability for providing such information and release the company from all liability for obtaining and using such information in connection with my application and any employment decision.

Background Checks and Litigation Disclosure: I understand that the company may conduct investigations into my background and that failure to disclose material facts, including prior litigation involving employment or professional conduct, may be grounds for denial of employment or subsequent disciplinary action. I further acknowledge that disclosure of sealed or expunged records may be governed by law and that I may be required to provide documentation concerning such records.

Applicant Certification and Consent

I certify under penalty of perjury that the information contained in this form is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation, omission, or falsification of information may disqualify me from consideration for hire or may subject me to disciplinary action, up to and including termination if employed.

By signing below I authorize the company to conduct the inquiries described above and certify that I have read and understand the statements and disclosures contained in this form.

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