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I HEREBY AUTHORIZE RELEASE BY ANY EMPLOYER, PAST OR PRESENT, CITY, COUNTY, STATE OR FEDERAL AGENCY, LAW ENFORCEMENT AGENCY, SCHOOL, COLLEGE OR UNIVERSITY OR ANY OTHER LEARNING INSTITUTE, FINANCIAL INSTITUTE, CREDIT BUREAU, COLLECTION AGENCY OR OTHER PRIVATE BUSINESS, BRANCH OF THE MILITARY, PERSONAL REFERENCE OR ANY OTHER PERSON, PLACE OF BUSINESS OR ORGANIZATION WHICH MAY HAVE KNOWLEDGE OF MY EMPLOYMENT AND PUBLIC RECORD INFORMATION WHICH IS RELATED TO MY HISTORY.

I ALSO RELEASE ANY PERSON, BUSINESS, ORGANIZATION, AGENCY OR OTHER NAMED OR UNNAMED WHICH MAY HAVE KNOWLEDGE CONCERNING ANY OF THE INFORMATION OR RELATED INFORMATION PROVIDED ON MY EMPLOYMENT APPLICATION FROM ANY AND ALL LIABILITY RESULTING FROM FURNISHING THIS INFORMATION.

THIS AUTHORIZATION MAY BE MAILED OR FAXED TO ANY PERSON WHO PROVIDES INFORMATION UNDER THE SCOPE OF THIS INVESTIGATION AND SHALL BE VALID AS THE ORIGINAL.

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