Legal Background Check Letter

LEGAL BACKGROUND CHECK LETTER

This Background Check Authorization Letter (the "Letter") is made effective as of by and between Requesting Party: (the "Requesting Party") and Subject Name: (the "Subject").

RECITALS

WHEREAS, the Requesting Party requires background information regarding the Subject for purposes of evaluating suitability for employment, engagement, licensing, contracting, or other legal purposes described in this Letter; and

WHEREAS, the Subject is willing to provide written authorization permitting the Requesting Party and its authorized agents or service providers to obtain and review certain background and investigative information as set forth in this Letter; and

WHEREAS, the parties desire to set forth the scope of authorization, limitations on use and disclosure, and the legal terms governing the collection, retention and release of background information.

NOW THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties agree as follows:

1. DEFINITIONS

"Background Information" means public records, credit reports (if authorized below), criminal history, motor vehicle records, employment and education verifications, professional license status, civil litigation filings, reference statements, and other reports described in Section 2. "Provider" means any third-party investigative or screening service retained by the Requesting Party to obtain Background Information.

2. AUTHORIZATION AND SCOPE

The Subject hereby expressly authorizes the Requesting Party and any identified Provider to obtain Background Information relating to the Subject. The lawful scope of the background check shall include the following categories (check applicable boxes):

Scope of Authorization: Criminal history and arrest records Civil litigation and judgments Employment verification and reference checks Education verification Driving record / motor vehicle records Credit report (if authorized) Professional license status and disciplinary records Other (describe below)

3. SUBJECT IDENTIFIERS

The Subject provides the following identifiers to facilitate accurate retrieval of records. The Subject certifies that the information provided is accurate to the best of the Subject's knowledge.

4. PROVIDER AND CONTACT

The Requesting Party may retain a Provider to conduct the background check. Provider contact information is set forth below if known.

5. RELEASE, WAIVER AND CERTIFICATION

The Subject authorizes any person, agency or entity that maintains records concerning the Subject to release such records to the Requesting Party or Provider. The Subject releases and holds harmless the Requesting Party, Providers and their respective officers, agents and employees from any and all liability arising from the release, collection or use of Background Information conducted in accordance with this Letter and applicable law.

The Subject certifies under penalty of perjury that the foregoing information provided by the Subject is true and correct. The Subject understands that false statements or deliberate omissions may be grounds for denial of the application, termination of a contract, or other lawful action.

6. USE, CONFIDENTIALITY AND REDISCLOSURE

Background Information obtained under this Letter will be used solely for the legitimate business purpose stated above and will be treated as confidential to the extent required by law. The Requesting Party will limit access to Background Information to individuals who have a need to know for the evaluation process. The Requesting Party will not disclose Background Information to third parties except as required to evaluate the Subject or as required by law; any permitted redisclosure must be consistent with applicable legal obligations.

7. RETENTION PERIOD AND DESTRUCTION

Background Information will be retained only for the period necessary to accomplish the purpose for which it was requested or for any additional period required by applicable law, after which the Requesting Party or Provider will securely destroy or anonymize the records in a manner designed to protect the Subject's privacy.

8. REVOCATION

The Subject may revoke this authorization at any time by providing written notice to the Requesting Party at the address set forth below. Revocation will not affect any action taken prior to receipt of the revocation. The Requesting Party may continue to use any Background Information obtained prior to revocation to the extent permitted by law.

9. INDEMNIFICATION AND LIMITATION OF LIABILITY

The Subject agrees to indemnify and defend the Requesting Party and Providers from any claims, damages or losses arising from inaccurate information knowingly provided by the Subject. Except for willful misconduct or gross negligence, neither party shall be liable to the other for incidental, consequential or punitive damages arising out of the collection, use or disclosure of Background Information.

10. COMPLIANCE WITH LAW

The Requesting Party and any Provider will comply with all applicable laws and regulations governing background checks, privacy, consumer reporting and data protection in conducting the Background Information search and handling results.

11. AMENDMENT; WAIVER; COUNTERPARTS

This Letter may be amended only by a written instrument signed by both parties. No failure or delay by either party in exercising any right shall operate as a waiver. This Letter may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

12. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Letter shall be governed by and construed in accordance with the laws of the jurisdiction selected by the Requesting Party at the time of execution. This Letter constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements. If any provision is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

13. ADDITIONAL SUBJECT CERTIFICATIONS

The Subject certifies that they have received a clear and conspicuous disclosure that a consumer report or investigative consumer report may be obtained, if applicable, and that the Subject authorizes such report. The Subject further acknowledges receipt of any required disclosure and the right to receive a copy of any consumer report obtained in accordance with applicable law.

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