Legal CRA Consent Form

LEGAL CRA CONSENT FORM

This Legal CRA Consent Form ("Consent") is made effective as of by and between Company Name: , Company Address: (collectively referred to as "Company"), and Consumer Name: , Consumer Address: ("Consumer").

RECITALS

WHEREAS, Company intends to obtain consumer report(s) and/or investigative consumer report(s) concerning Consumer from one or more consumer reporting agencies and third-party sources for the purpose of evaluating Consumer's suitability for employment, engagement, licensing, contracting, or other legitimate business purpose designated herein; and

WHEREAS, Consumer is willing to provide informed consent allowing Company and its agents to obtain such reports and related records upon the terms set forth in this Consent; and

WHEREAS, the parties wish to document the scope, duration and use of any consumer reports obtained by Company and provide notice of Consumer's rights in connection with those reports.

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

1. AUTHORIZATION AND CONSENT

Consumer hereby authorizes Company, its affiliates, agents, contractors, and any duly retained consumer reporting agency or investigative firm (collectively, "Agents") to obtain one or more consumer reports and/or investigative consumer reports regarding Consumer. Consumer expressly consents to the procurement of such reports for the purposes indicated in Section 3 and acknowledges that such reports may include, but are not limited to, credit history, employment verification, education verification, criminal history, civil court records, driving records, professional licenses, and other public and private records.

2. SCOPE OF AUTHORIZATION

Consumer authorizes Company and Agents to collect information from third-party sources and to make any inquiries deemed necessary to evaluate Consumer. Consumer authorizes the following specific types of reports (check applicable boxes):

Credit report and credit history
Criminal background check
Employment and education verification
Motor vehicle and driving records
Professional license and credential verification
Investigative consumer report (may include interviews and background investigations)
Social media and publicly available online information

The parties agree that the scope of the authorized search shall cover records for the prior unless a different period is required by law or necessary for the stated business purpose.

3. PURPOSES AND USE

Consumer acknowledges that the information obtained pursuant to this Consent will be used solely for legitimate business purposes including: employment/engagement evaluation, licensing/credentialing, contracting/vendor qualification, or Other:

4. DISCLOSURE, SHARING AND RETENTION

Consumer understands and agrees that Company may disclose the consumer report information to its affiliates, hiring managers, compliance personnel, Agents and insurers on a need-to-know basis for the stated purposes. Company will retain any consumer report or investigative file in accordance with its records retention policies and applicable law. Company will take commercially reasonable measures to protect the confidentiality and security of Consumer's information.

5. CONSUMER IDENTIFYING INFORMATION

6. DURATION; FURTHER AUTHORIZATIONS

This Consent shall remain effective for the duration of Consumer's application process and, if Consumer becomes retained by Company, for the duration of such retention and for a reasonable period thereafter to address matters related to retention, claims and compliance. Consumer consents to Company obtaining additional consumer reports and updates during such period without obtaining a separate written consent, unless prohibited by applicable law.

7. REVOCATION

Consumer may revoke this Consent in writing by delivering notice to Company's designated notices address specified below. Revocation will be effective only to the extent permitted by law and will not affect any action taken by Company or its Agents prior to receipt of such revocation.

8. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that it has the authority to enter into this Consent, that the information provided in connection with this Consent is true and accurate to the best of its knowledge, and that it will comply with all applicable laws governing the procurement, use and disclosure of consumer reports.

9. INDEMNIFICATION

Company shall defend and hold harmless Consumer from claims arising from Company's willful misconduct in the use or disclosure of consumer report information. Consumer shall indemnify Company against claims arising from Consumer's intentional misrepresentation of material facts provided to Company. Each party's indemnity obligations are subject to applicable law and court-ordered limitations.

10. NOTICES

Any notices under this Consent shall be given in writing and delivered by hand, overnight courier, or registered mail to the addresses set forth below or to such other address as a party may designate in writing.

11. AMENDMENTS; WAIVER; COUNTERPARTS

This Consent may be amended only by a written instrument executed by both parties. Failure to enforce any provision will not constitute a waiver of future enforcement. This Consent may be executed in counterparts, each of which will be deemed an original, and all of which together will constitute one instrument.

12. GOVERNING LAW

This Consent shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles. The parties submit to the exclusive jurisdiction of the courts located in that State for any disputes arising from this Consent.

13. ENTIRE AGREEMENT; SEVERABILITY

This Consent constitutes the entire agreement between the parties with respect to its subject matter and supersedes any prior oral or written agreements. If any provision is held invalid or unenforceable, the remaining provisions will remain in full force and effect.

14. CONSUMER CERTIFICATION

By signing below, Consumer certifies that the information provided is true and correct and acknowledges receipt of a clear written disclosure that a consumer report may be obtained for purposes described herein. Consumer further acknowledges that prior to any adverse action based in whole or in part on information contained in a consumer report, Consumer will be provided with a copy of such report and an opportunity to dispute its accuracy in accordance with applicable law.

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