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Background Check Disclosure & Authorization Template (Simple)

Stand-alone FCRA disclosure and consent for an employment background check.

Use this free template Free account, so you can save and send it. Log in

SimpleFullPlain-English Summary

Simple: a 1–2 page short form with just the core terms.

This template is not legal advice; consult a licensed attorney in your state. Laws, required disclosures and signing formalities (witnesses, notarization, recording) vary by state and county.
E-Sign Auto is not a law firm and does not provide legal advice.

Find an attorney to review this → Employment attorneys who offer a free consultation. Not an endorsement.

1. Parties2. Details

Parties

Signing order: Applicant → Employer. Each signer is invited after the previous one signs.

1. Applicant
2. Employer

Signature, date and name fields are added for every signer automatically.

Details

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Signature, initials (every page) and date fields are placed for each party. You can review and adjust them before sending.

Live preview

What the sections mean (plain English)
SCOPE
Exactly what work is to be done.
STATE NOTICES
How the parties must officially contact each other.

How to use this Background Check Disclosure & Authorization template

  1. Answer the guided questions. Your name and company fill in automatically from your profile.
  2. Pick the governing state and complete the [STATE-SPECIFIC] blanks. Switch optional clauses on or off.
  3. Check the live preview, then create the document. Signature, initial and date fields are placed for each party.
  4. Review the fields and send. Each party signs in order, and everyone gets the signed PDF.

Frequently asked questions

Is this Background Check Disclosure & Authorization template free?

Yes. You can fill it in, download it and send it for electronic signature with a free E-Sign Auto account.

Is an electronically signed Background Check Disclosure & Authorization legally binding?

In the U.S., the federal ESIGN Act and state UETA laws generally give e-signatures the same effect as handwritten ones. Check your state's rules.

Does this template work in my state?

It is a generic, state-neutral starting point. Pick your governing state and complete every blank marked [STATE-SPECIFIC]. This template is not legal advice; consult a licensed attorney in your state.

Who signs, and in what order?

Applicant, then Employer. Each signer gets a secure link in that order, with signature, initial and date fields already placed.