Fill and Sign the Sample Certification from Company to Consumer Reporting Agency Form

SAMPLE CERTIFICATION FROM COMPANY TO CONSUMER REPORTING AGENCY In compliance with the Fair Credit Reporting Act (FCRA) as amended by the Consumer Credit Reporting Act of 1996, we hereby certify to [Name of Consumer Reporting Agency] that we will comply with the following provisions.[Name of Company] certifies that prior to obtaining or causing a “consumer report” and/or an “investigative consumer report” to be obtained for employment purposes: •A clear and conspicuous disclosure, in a document consisting solely of the disclosure, will be made in writing to the individual. The disclosure will explain that a consumer report and/or investigative consumer report may be obtained for employment purposes, and will be presented to him/her before the report is procured or caused to be procured. The disclosure will satisfy all requirements identified in the Act.•The individual will have authorized, in writing, the obtaining of the report by [Name of Company].Should the individual make a written request within a reasonable amount of time, we will provide:•Information about whether an investigative consumer report has been requested.•If an investigative consumer report has been requested, written disclosure of the nature and scope of the investigation requested. •The name and address of the outside agency to whom requests for any of these reports have been made.Note: The above information will be provided no later than five days after the date on which the request for such disclosure was received from the individual or such report was first requested, whichever is later. Should the individual be denied employment, or other adverse action taken, in whole or in part on the basis of the report, [Name of Company] will provide to him/her: •A copy of the report. •A description, in writing, of the rights of the consumer entitled: “A Summary of Your Rights Under the FCRA.”The information from the report will not be used in violation of any applicable federal or state equal employment opportunity law or regulation.