[{"id":"9a994a7a-0dda-4acc-850c-f1cc5a0362b6","order":1,"text":"BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"f373de3c-e9e5-40ec-951a-562f7aac429a","order":2,"text":"Federal, state and local compliance packet under the Fair Credit Reporting Act","fontSize":"12","textAlign":"center","bold":false,"underline":false,"marginBottom":"26","cflou":false,"active":true},{"id":"077298ad-89ff-4e99-9558-4df52f04fdd4","order":3,"text":"INSTRUCTIONS FOR THE COMPANY — NOT FOR RELEASE TO THE APPLICANT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"0e7c245a-97fb-4463-b3f2-c7b92b66bbb6","order":4,"text":"This packet has been prepared for [Legal name of the company] (the Company), of [Street address], [City, state and ZIP code]. It concerns the position of [Position title], it is dated [Date], and it has been configured for the following jurisdiction setting: All U.S. states.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3b475152-ec62-4631-8ff9-ec027555dd4c","order":5,"text":"Purpose. Part I, Part II and Part III are given to the applicant or employee before any consumer report is ordered. Part IV, Part V and Part VI are used only if the Company is considering adverse action on the strength of a report. Part VII is the certification the Company gives to the consumer reporting agency.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6fc1b706-a293-40e4-939a-35ff294ece4d","order":6,"text":"The stand-alone rule. Under 15 U.S.C. § 1681b(b)(2)(A)(i) the disclosure in Part I must be clear and conspicuous and must appear in a document that consists solely of the disclosure. Print Part I on its own page. Do not combine it with the employment application, with a liability release or waiver, with an arbitration clause, with the notices in Part II, or with any other text. Federal courts have repeatedly held that extraneous material defeats the stand-alone requirement and exposes the Company to statutory and punitive damages under 15 U.S.C. § 1681n.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"821aa9c0-2fba-46e8-b966-08fcf14c58e0","order":7,"text":"Do not ask the applicant to sign Part I. A signature line on the disclosure page has itself been treated as extraneous content. The applicant signs Part III only.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"50248ed6-34d7-4457-ae46-dce18aad9a83","order":8,"text":"Authorization. 15 U.S.C. § 1681b(b)(2)(A)(ii) permits the written authorization to be taken on the disclosure document itself. This packet nevertheless places the authorization in Part III, on a separate page. That is the more conservative practice and it is compatible with Cal. Civ. Code § 1786.16(a)(2)(B), which imposes its own stand-alone requirement for investigative consumer reports. Print Part III on its own page as well, so that neither the disclosure nor the state notices are combined with the signature block.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5706e734-7561-421f-879b-89f5ec2ac6a5","order":9,"text":"Order of operations. Give Part I, Part II and Part III to the applicant. Obtain the signed and dated Part III. Send the certification in Part VII to the consumer reporting agency. Order the report. If the report leads the Company to consider adverse action, complete Part IV, then send Part V together with a complete copy of the report and a copy of the document entitled A Summary of Your Rights Under the Fair Credit Reporting Act. Allow the whole response period to elapse and consider any response received. Only then send Part VI.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d8ae3ae1-8aa7-495e-bfb3-16049382d858","order":10,"text":"Record keeping. Retain the signed authorization, the certification, the individualized assessment and both adverse action notices. Federal rules generally require personnel records to be preserved for one year from the making of the record or from the personnel action, whichever is later (29 C.F.R. § 1602.14), and for two years in the case of many federal contractors (41 C.F.R. § 60-1.12). State law may require longer retention.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"32ca2799-5066-41b1-8afd-7205810f5874","order":11,"text":"Scope. This packet covers consumer reports obtained for employment purposes only. It must not be used to obtain a report for tenant screening, credit, insurance or any other purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"95f86f73-2d6b-4df3-905a-6d43f166564c","order":12,"text":"What this packet does not cover. Employment eligibility verification on Form I-9, and any query made through E-Verify, are separate processes governed by immigration law and are not addressed here. Results of a drug or alcohol test that the Company obtains directly from a collection site or laboratory are not consumer reports; where the Company instead orders testing through the consumer reporting agency named below, the results form part of the consumer report and are covered by this packet.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"98f1c91f-4573-403c-9e5e-ca0dbeb96d43","order":13,"text":"Special rule for interstate trucking. Where the applicant has applied for a position involving interstate commerce by mail, telephone, computer or other similar means, 15 U.S.C. § 1681b(b)(3)(B) allows the pre-adverse action disclosures to be given orally, in writing or electronically within three business days of taking the adverse action, in place of the ordinary procedure in Part V. The exception is narrow. Do not rely on it without confirming that every one of its conditions is met.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"ce68ad97-33af-4433-8d2c-a8cbc454ceac","value":"yes","type":"add","operator":"="}]},{"id":"2bf6786f-d73d-4024-a2fc-f6222dbf507e","order":14,"text":"Adverse action. An adverse action is a denial of employment and any other decision taken for employment purposes that adversely affects a current or prospective employee (15 U.S.C. § 1681a(k)). Rescinding a conditional offer, refusing a promotion, refusing a transfer and ending an engagement are all adverse actions and all require Part V and Part VI.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"4f8d6b8c-b0fd-4e31-8bb4-6961c7a3e43f","order":15,"text":"Notice to Users. The consumer reporting agency must provide the Company with the notice entitled Notice to Users of Consumer Reports: Obligations of Users Under the FCRA (15 U.S.C. § 1681e(d)). Obtain it, read it and keep it with this packet.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"0568be15-70d2-4809-a8af-078e162825ec","order":16,"text":"Disposal. Consumer report information must be destroyed so that it cannot practicably be read or reconstructed: burning, pulverizing or shredding paper records, and destroying or erasing electronic media, satisfy the standard set by the disposal rule at 16 C.F.R. Part 682. Record the disposal in Part VIII.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7aafa7b0-5beb-4886-8353-4b188dff71bb","order":17,"text":"Sharing the report. The authorization in Part III is given to the Company alone. Do not pass the report to a client, an affiliate or a staffing customer unless that entity has its own permissible purpose and its own signed disclosure and authorization. Where the Company is a staffing agency, identify in Part I, before the report is ordered, every entity for which the report may be used.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"74fab224-3cd4-4a90-81b2-edf5e8a404e6","order":18,"text":"If the applicant refuses to sign. Do not order a report. The Company may decline to proceed with an application where a background check is genuinely required for the position, and New York expressly permits it to do so (N.Y. Gen. Bus. Law § 380-c(d)). Record the refusal in Part VIII.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"00ab77a8-03c3-4a19-a3cd-45f1861f423e","order":19,"text":"California. Cal. Civ. Code § 1786.16(a)(2)(B) imposes its own stand-alone disclosure, which must also state the nature and scope of the investigation and summarize the file-inspection rights given by Cal. Civ. Code § 1786.22. Where the applicant resides or will work in California, give the California notices in Part II on their own page together with Part I, and obtain the check-box election in Part III, before the report is ordered.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"bd5250a5-098f-4003-bd56-16dd17fc8bed","order":20,"text":"Response period. Set the period in Part V to at least the longest minimum that applies to the applicant. The minima stated in Part II differ by jurisdiction and the packet provides that the longer statutory period prevails over the figure entered, but entering a figure that is already compliant avoids any argument about it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"96d1dd4e-fbed-43ef-b89b-563aa76bd93f","order":21,"text":"Currency. Fair-chance, credit-check and consumer reporting rules change frequently. Confirm the current requirements of every jurisdiction in which the applicant resides or will work before using this packet.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"f56768e3-b57d-4c17-95b9-03fe2f24ffeb","order":22,"text":"PART I — DISCLOSURE REGARDING BACKGROUND INVESTIGATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"3e68c41a-6fdd-4013-aa82-19cde15c8ba4","order":23,"text":"[Legal name of the company] (the Company) may obtain one or more consumer reports about you from a consumer reporting agency for employment purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c04e1810-3974-4638-8d01-fd76adfb9a1d","order":24,"text":"A consumer report is a written, oral or other communication by a consumer reporting agency bearing on your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics or mode of living, which is used or expected to be used, in whole or in part, as a factor in establishing your eligibility for employment.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7f213d43-6def-49ed-ad62-bbf666413a7e","order":25,"text":"A report obtained about you may contain information concerning your criminal records and court records; your employment history, including the positions you held, the dates of employment and the reasons for separation; your education, degrees, diplomas and professional credentials; your professional and occupational licenses; your military service; verification of your Social Security number and of your address history; and, to the extent permitted by law, records of civil suits and civil judgments.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"18756d3b-74e7-4e0a-bef1-4857773948cb","order":26,"text":"The report may also contain your motor vehicle and driving record, including license status, endorsements, restrictions, reported accidents and moving violations.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"ce68ad97-33af-4433-8d2c-a8cbc454ceac","value":"yes","type":"add","operator":"="}]},{"id":"e5b6946d-6e05-47de-aad9-b9e6eb44ee1b","order":27,"text":"The report will not contain your motor vehicle or driving record.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"ce68ad97-33af-4433-8d2c-a8cbc454ceac","value":"no","type":"add","operator":"="}]},{"id":"e9925110-fd28-4341-b02c-45e731e7ae23","order":28,"text":"The report may also contain a consumer credit report. A credit report will be obtained only where federal, state and local law permit a credit report to be obtained for the position concerned.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"yes","type":"add","operator":"="}]},{"id":"41f60058-9ab0-439c-a6b9-19e752a301c8","order":29,"text":"The report will not contain a consumer credit report or information bearing on your credit history.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"add","operator":"="}]},{"id":"5edf3c58-f33f-418c-8486-5db02d94f252","order":30,"text":"The report may be, or may include, an investigative consumer report. An investigative consumer report contains information about your character, general reputation, personal characteristics and mode of living obtained in whole or in part through personal interviews with neighbors, friends, associates, former employers, former landlords, references or other persons who may have knowledge of any of those items of information.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"68fc522e-22f9-45a5-b11d-902cd51488ae","value":"yes","type":"add","operator":"="}]},{"id":"056ff1fc-68c6-4d46-a74b-9c46a1449acc","order":31,"text":"Where an investigative consumer report is obtained, you have the right to request in writing a complete and accurate disclosure of the nature and scope of the investigation requested, and to receive a written summary of your rights under the Fair Credit Reporting Act. The disclosure will be sent to you within five days of the later of the date your request is received or the date the report was first requested.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"68fc522e-22f9-45a5-b11d-902cd51488ae","value":"yes","type":"add","operator":"="}]},{"id":"ad9835ac-dbab-421f-b9bc-f5d5e0615f02","order":32,"text":"The Company does not intend to obtain an investigative consumer report about you. Information will be gathered from records, databases and public sources, and from verification inquiries made to the employers, schools and licensing bodies you identify, rather than from personal interviews concerning your character, general reputation, personal characteristics or mode of living.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"68fc522e-22f9-45a5-b11d-902cd51488ae","value":"no","type":"add","operator":"="}]},{"id":"766b9493-2d42-4fad-aaa0-0c6eee329910","order":33,"text":"If you are employed or engaged by the Company, this disclosure also covers consumer reports that the Company may obtain about you at any time during your employment or engagement, for the purposes of retention, reassignment, promotion, transfer or the investigation of suspected misconduct, to the extent permitted by law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"3bc4600b-260d-44c4-9be8-e1a062f68d4f","value":"yes","type":"add","operator":"="}]},{"id":"e17ee295-f326-4574-a1ba-ef129fcf7963","order":34,"text":"This disclosure relates only to the report or reports obtained in connection with your present application. If the Company wishes to obtain a further report after a hiring decision has been made, a new disclosure will be given to you and a new authorization obtained.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"3bc4600b-260d-44c4-9be8-e1a062f68d4f","value":"no","type":"add","operator":"="}]},{"id":"6b764e21-126d-422e-951b-225d15f72c34","order":35,"text":"The report will be prepared for the Company by [Name of the screening company], of [Street address], [City, state and ZIP code], website [Website], telephone [Telephone number].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b2af8e0c-a75d-4835-afb7-924578b7bbf5","order":36,"text":"You may contact that consumer reporting agency directly in order to learn the nature and substance of the information it holds about you, to obtain a copy of any report it has prepared about you, and to dispute the accuracy or completeness of any information it has reported. You have those rights whether or not you are offered employment.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"a99b5f9b-3a7e-4e48-8657-c5dbd1141290","order":37,"text":"PART II — FEDERAL, STATE AND LOCAL NOTICES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"f70ca945-92d8-4b27-8a31-ef53313a211b","order":38,"text":"The notices set out below are given under federal, state and local law. They appear on a page separate from the disclosure in Part I so that the disclosure continues to consist solely of the disclosure, as federal law requires.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"629e6993-3ac0-47a7-bb39-8b6d4722dfc3","order":39,"text":"Right to receive a copy of the report. If you live in, or are applying for a position in, California, Minnesota or Oklahoma, you have a statutory right to receive a copy of any consumer report or investigative consumer report obtained about you. Check the box in Part III to exercise that right. The Company will honor a request made by an applicant in any state.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"9cb6a978-aaf0-4e61-951c-d6755e2c4db4","order":40,"text":"Consumer credit reports. A number of states and cities, among them California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Nevada, New York, Oregon, Vermont, Washington, the District of Columbia, New York City and Philadelphia, restrict or prohibit the use of consumer credit reports for employment purposes. The Company seeks a consumer credit report for this position on the following basis: [Exempt job category or legal requirement] — a statement of that basis is required in several of the jurisdictions named above.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"yes","type":"add","operator":"="}]},{"id":"a0c30fa1-2379-4ba6-8064-abb0f4b35d2c","order":41,"text":"Reporting limitations. Federal law generally prevents a consumer reporting agency from reporting records of arrest that did not result in a conviction, civil suits, civil judgments, paid tax liens, accounts placed for collection and most other adverse items that antedate the report by more than seven years. Records of criminal conviction are not subject to that federal time limit, although a number of states impose one. The federal limits do not apply where the annual salary for the position is, or may reasonably be expected to be, $75,000 or more (15 U.S.C. § 1681c).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"a7033798-d8f5-4a5f-8c96-e70aa426554b","order":42,"text":"California","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"6fe26822-58d9-4e84-93c7-a518e66c79cd","order":43,"text":"Investigative Consumer Reporting Agencies Act. Reports about California residents are governed by Cal. Civ. Code § 1786 et seq. You have the right to inspect the files held about you by the agency named in Part I during normal business hours and on reasonable notice, in person, by certified mail or by telephone, and to be accompanied on a personal inspection by one other person of your choosing who furnishes reasonable identification (Cal. Civ. Code § 1786.22).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"266359c6-a898-451e-8447-ed3a248af725","order":44,"text":"California defines an investigative consumer report more broadly than federal law does: it covers information on character, general reputation, personal characteristics or mode of living obtained by any means, and not only information obtained through personal interviews (Cal. Civ. Code § 1786.2(c)). A report that is not an investigative consumer report under federal law may therefore be one under California law, and the notices in this section apply to it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"b3a7f78f-e994-49d9-b599-d677ddae5a2b","order":45,"text":"Reports about California residents may not contain records of arrest, indictment, information, misdemeanor complaint or conviction of a crime that, from the date of disposition, release or parole, antedate the report by more than seven years, nor any other adverse information that antedates the report by more than seven years (Cal. Civ. Code § 1786.18).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3ca4f473-9bb6-4902-b79e-ff005df4b50a","order":46,"text":"Copy of the report. You may receive a copy of any investigative consumer report or consumer report obtained about you by checking the box in Part III. Where you do so, a copy will be sent to you within three business days of the date on which the report is provided to the Company (Cal. Civ. Code § 1786.16(b)(1)).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"b1aa2f77-226e-46e0-8fd3-1122f783099a","order":47,"text":"Fair Chance Act. Under Cal. Gov. Code § 12952 and 2 Cal. Code Regs. § 11017.1, an employer with five or more employees may not ask about or consider conviction history before a conditional offer of employment. If, after a conditional offer, the Company makes a preliminary decision that your conviction history disqualifies you, it will carry out a reasoned, evidence-based individualized assessment, notify you of that preliminary decision in writing, identify the conviction at issue, enclose a copy of the conviction history report, and allow you at least five business days to respond. If within that period you notify the Company in writing that you dispute the accuracy of the conviction history and that you are obtaining evidence to support that assertion, you will be allowed five additional business days.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3351d004-bd90-439e-be99-b12d867575c3","order":48,"text":"Under Cal. Labor Code § 432.7 the Company will not ask about or consider an arrest that did not result in a conviction, a referral to or participation in a pretrial or post-trial diversion program, or a conviction that has been sealed, dismissed, expunged or statutorily eradicated.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"ca0732e2-d675-49f9-8411-1886b68235f9","order":49,"text":"Local ordinances. Employers with jobs located in the unincorporated areas of Los Angeles County must also comply with the Los Angeles County Fair Chance Ordinance, L.A. Cnty. Code § 8.300 et seq., in force since September 3, 2024, which requires among other things that the applicant be given a copy of the background report before any question about criminal history is put. The City of Los Angeles Fair Chance Initiative for Hiring Ordinance and the San Francisco Fair Chance Ordinance, S.F. Police Code article 49, impose their own notice and assessment requirements.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"5bf14dd9-b995-4e26-a958-ba386abae5c2","order":50,"text":"Credit reports. Under Cal. Labor Code § 1024.5 a consumer credit report may be obtained for employment purposes only for the categories of position listed in that section, and the basis on which it is sought must be identified to you.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"fcf39588-9b44-4771-a22a-3718ceff221d","order":51,"text":"Colorado","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Colorado","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"633b8735-8f13-4dc6-9cfe-915b47b3ed24","order":52,"text":"Colorado Chance to Compete Act. Under C.R.S. § 8-2-130 the Company may not state in a job advertisement or on an application that a person with a criminal history may not apply, may not require you to disclose a criminal history on an initial application, and may not inquire into records that have been sealed or expunged.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Colorado","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"55173522-65f9-46bf-9ed3-f3226ea64321","order":53,"text":"Colorado Employment Opportunity Act. Under C.R.S. § 8-2-126 the Company may not use consumer credit information for employment purposes unless that information is substantially related to the position, and it must disclose to you in writing the reason for using it before it does so.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Colorado","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"65553b47-6452-443d-bd29-56fa77e4c08d","order":54,"text":"Connecticut","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Connecticut","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"792965c5-5542-4d09-aacc-a4eeb4348eaa","order":55,"text":"Under Conn. Gen. Stat. § 31-51i the Company may not ask about your prior arrests, criminal charges or convictions on an initial employment application, except in the limited circumstances that section allows, and may not require you to disclose a criminal record that has been erased. You may answer any question about an erased record as though the matter had never occurred.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Connecticut","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"57b46703-8fe2-4635-8152-b6643a2cbba7","order":56,"text":"Under Conn. Gen. Stat. § 31-51tt the Company may not request or use your credit report unless it is a financial institution, the report is required by law, the report is substantially related to the position, or the Company has a bona fide purpose for the request that is substantially job related and is disclosed to you in writing.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Connecticut","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"9637f031-2fc7-427e-ba79-65e470cf8c25","order":57,"text":"Hawaii","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Hawaii","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"8bdce304-0067-4fc4-9ae4-c429a9883149","order":58,"text":"Under Haw. Rev. Stat. § 378-2.5 the Company may inquire into and consider your conviction record only after a conditional offer of employment has been made, and only where the conviction bears a rational relationship to the duties and responsibilities of the position. The Company will observe the lookback periods prescribed by that section and will not consider an arrest that did not result in a conviction.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Hawaii","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"06a0f8ee-5066-439b-a4b8-c46f8ae4ee3a","order":59,"text":"Illinois","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Illinois","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"1f7412c1-564b-4e19-a042-afa844bd7202","order":60,"text":"Job Opportunities for Qualified Applicants Act. Under 820 ILCS 75 the Company may not inquire into, consider or require disclosure of your criminal record until you have been determined qualified for the position and notified that you have been selected for an interview or, where there is no interview, until a conditional offer of employment has been made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Illinois","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"366d0a6c-d066-4611-802e-dc291544853d","order":61,"text":"Illinois Human Rights Act. Under 775 ILCS 5/2-103.1 the Company may not use a conviction record as the basis for an adverse employment decision unless there is a substantial relationship between one or more of the previous criminal offenses and the position sought or held, or the granting or continuation of employment would involve an unreasonable risk to property or to the safety or welfare of specific individuals or the general public.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Illinois","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"baf1215f-6cc1-4b08-9d3e-1cd3e4a73775","order":62,"text":"Before a final decision on that basis, the Company will give you written notice of its preliminary decision identifying the conviction relied upon and its reasoning, enclose a copy of the conviction history report, and allow you at least five business days to respond with evidence challenging the accuracy of the record or evidence in mitigation, including evidence of rehabilitation. The Company will consider your response before making a final decision and will notify you in writing of that decision, of any procedure available to challenge it and of your right to file a charge with the Illinois Department of Human Rights.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Illinois","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"ea3fcb57-1f70-4bbb-beb9-9f5df6a6c4dd","order":63,"text":"Employee Credit Privacy Act. Under 820 ILCS 70 the Company may not inquire into or use your credit history unless a satisfactory credit history is an established bona fide occupational requirement of the position.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Illinois","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"c1210759-bbfa-4c63-8de3-aa2329cfb02b","order":64,"text":"Maryland","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Maryland","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"2541524e-56d7-4625-ab9b-a84131bcb49e","order":65,"text":"Criminal Record Screening Practices. Under Md. Code, Lab. and Empl. § 3-1501 et seq. an employer with fifteen or more full-time employees may not require you to disclose whether you have a criminal record, or whether criminal accusations have been brought against you, before the first in-person interview, unless another law requires or expressly authorizes the inquiry.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Maryland","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"8a36ba85-f26b-4747-acd3-406be3826d45","order":66,"text":"Job Applicant Fairness Act. Under Md. Code, Lab. and Empl. § 3-711 the Company may not use your credit report or credit history in deciding whether to hire you, or in setting the terms of your employment, unless an exemption in that section applies or the Company has a bona fide purpose that is substantially job related and is disclosed to you in writing.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Maryland","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"d2536df8-3c04-4ff8-9eda-ddbce52610fc","order":67,"text":"Massachusetts","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Massachusetts","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"8064dc5f-e34a-481f-a77d-e9b8c38fb236","order":68,"text":"Under M.G.L. c. 151B, § 4(9½) the Company may not request criminal offender record information on an initial written employment application, except where a statutory exception applies.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Massachusetts","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"04742895-170e-4a31-8d2d-0502b77126cf","order":69,"text":"If the Company obtains criminal offender record information about you, from whatever source, it will give you a copy of that information before asking you any question about your criminal history (M.G.L. c. 6, §§ 171A and 172; 803 CMR 2.00).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Massachusetts","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"b8c44649-d3dd-4b04-833c-0f351954f629","order":70,"text":"If the Company is considering an adverse decision on the basis of criminal history, it will notify you of the potential decision and provide a copy of the criminal record relied upon, a copy of its criminal offender record information policy, and information about the process for correcting a criminal record.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Massachusetts","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"fb988ccf-0f66-40fd-9b7a-14079cc88aea","order":71,"text":"A separate CORI Acknowledgment Form must be signed by you before the Company requests criminal offender record information from the Department of Criminal Justice Information Services. That form is valid for one year from the date of your signature and is not replaced by this document.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Massachusetts","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3d05897b-5c55-403d-9f7e-39476b17acf5","order":72,"text":"The Company will maintain a secondary dissemination log where criminal offender record information is shared, and will dispose of that information in accordance with M.G.L. c. 6, § 172.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Massachusetts","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"c88ba0b9-6368-4913-9782-df23e63ec280","order":73,"text":"Minnesota","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Minnesota","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"9a4ae32b-594f-4b08-8fea-fee23afe9539","order":74,"text":"Under Minn. Stat. § 13C.02, subdivision 2, you may receive a copy of any consumer report obtained about you by checking the box in Part III. The report will be sent to you by the party preparing it within 24 hours of the time at which it is provided to the Company, together with a statement of your right to dispute and correct any errors.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Minnesota","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"506c286c-ecde-4934-8f3b-5b7ebec51511","order":75,"text":"Under Minn. Stat. § 13C.02, subdivision 3, you may request additional information about the nature and scope of any consumer report or investigative consumer report.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Minnesota","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"b43f26fb-1c43-4352-8c03-35112be622b4","order":76,"text":"If employment is denied, or another adverse employment action is taken, wholly or partly because of information contained in a consumer report, the Company will advise you of that fact, of your right to receive a copy of the report, of the name and address of the consumer reporting agency, and of your right to dispute and correct any errors (Minn. Stat. § 13C.03).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Minnesota","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"ed63d0fd-782f-4ec4-9f8d-f1399668b8a7","order":77,"text":"Under Minn. Stat. § 364.021 the Company may not inquire into or consider your criminal history until you have been selected for an interview or, where there is no interview, until a conditional offer of employment has been made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Minnesota","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3d30e4d8-b6d5-493b-a84a-0d05fe21c3f2","order":78,"text":"New Jersey","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New Jersey","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"e50375c3-880c-4c9c-a5a0-d7435d0e4298","order":79,"text":"Opportunity to Compete Act. Under N.J.S.A. 34:6B-11 et seq., the Company may not make an oral or written inquiry into your criminal record during the initial employment application process, and may not publish an advertisement stating that applicants with criminal records will not be considered.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New Jersey","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"496131c0-325c-4aef-ba45-7e2c9cc00983","order":80,"text":"After the initial application process the Company may inquire into and consider criminal record information, subject to the restrictions of that Act, including its restrictions on the use of expunged and pardoned records, and subject to the New Jersey Law Against Discrimination, N.J.S.A. 10:5-1 et seq.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New Jersey","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"03331663-4db0-412e-94e5-64a2fc643393","order":81,"text":"New York State","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"e0d00e60-3e9f-4a77-bfc8-35668dbb886f","order":82,"text":"Upon your written request the Company will inform you whether a consumer report was requested and, if so, the name and address of the consumer reporting agency that furnished it (N.Y. Gen. Bus. Law § 380-b(b)).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"63be5eef-03b6-407e-849f-0f4cc61c6b8b","order":83,"text":"If the report contains criminal conviction information, the Company will give you a printed or electronic copy of Article 23-A of the New York Correction Law (N.Y. Gen. Bus. Law § 380-g(d); N.Y. Correction Law §§ 750 to 755), a copy of which is also posted at the Company premises (N.Y. Labor Law § 201-f).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"14d7ff09-1d32-4396-9b3c-1bf8e5cee62a","order":84,"text":"Under N.Y. Correction Law §§ 752 and 753 the Company may not deny employment because of a criminal conviction unless there is a direct relationship between one or more of the previous criminal offenses and the position sought, or the granting of employment would involve an unreasonable risk to property or to the safety or welfare of specific individuals or the general public. The Company will weigh each of the factors listed in N.Y. Correction Law § 753 before making any such decision.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"6a980d6f-a0ac-4424-81a8-e443aa7b839d","order":85,"text":"If employment is denied because of a criminal conviction, the Company will provide, within thirty days of your written request, a written statement of the reasons for the denial (N.Y. Correction Law § 754).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"2cd4d1e3-78b3-44a6-95fe-869cc6813f10","order":86,"text":"The New York Clean Slate Act, in force since November 16, 2024, provides for the automatic sealing of certain conviction records. A sealed conviction is not available to the Company and will not be considered.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"b2aaff5d-7d3a-4ee9-af4a-576a39857bb1","order":87,"text":"Under N.Y. Gen. Bus. Law § 380-b(d) it is an unlawful discriminatory practice, subject to the exceptions stated in that subdivision, for an employer to request or to use an applicant consumer credit history for employment purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"030ccde4-6d0c-4c8e-a155-16d5a845ce78","order":88,"text":"New York City","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"808a09bc-a152-4aa0-b2d6-d0c2468f86ff","order":89,"text":"Fair Chance Act. Under N.Y.C. Admin. Code § 8-107(11-a) the Company may not ask about, or make any statement about, your record of arrests or criminal convictions until after a conditional offer of employment has been made. Before withdrawing a conditional offer on the basis of criminal history, the Company will give you a copy of the criminal history information relied upon, a written copy of its analysis of the relevant fair chance factors, and at least five business days, during which the position will be held open, in which to respond with evidence of inaccuracy, of rehabilitation or of good conduct.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"7c7787ed-c1f0-4073-91c0-27a0af52b9a7","order":90,"text":"The Company will not inquire into or consider sealed convictions, youthful offender adjudications, non-criminal violations or, except so far as the New York City Human Rights Law permits, pending criminal accusations.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3ab0c1ee-4213-4a3d-820b-3864d77e9d67","order":91,"text":"Under N.Y.C. Admin. Code § 8-107(24) it is an unlawful discriminatory practice, subject to the exemptions stated in that subdivision, for an employer to request or to use the consumer credit history of an applicant or employee.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"d861ca1d-a973-4825-a719-98fba259c6c6","order":92,"text":"Oklahoma","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Oklahoma","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"4c96d6a5-0820-4089-b222-3208fcf656b3","order":93,"text":"Under Okla. Stat. tit. 24, § 148(A) the Company gives you notice that a consumer report will be used in connection with your application, and you may receive a copy of that report by checking the box in Part III. If you request a copy, the Company will require the consumer reporting agency to provide it to you at the time the report is provided to the Company, or as soon as practicable thereafter.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Oklahoma","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"49074b58-00a7-40e8-ae28-2130c50ce0e0","order":94,"text":"Pennsylvania and the City of Philadelphia","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Pennsylvania (City of Philadelphia)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"db27ee79-5a11-43d7-98d3-6878d5bfbfb8","order":95,"text":"Criminal History Record Information Act. Under 18 Pa. C.S. § 9125 felony and misdemeanor convictions may be considered only to the extent that they relate to your suitability for the position applied for, and the Company will notify you in writing if a decision not to hire you is based in whole or in part on criminal history record information.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Pennsylvania (City of Philadelphia)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"238f8a4c-7a3b-4ad1-96e5-74eeb52fd52a","order":96,"text":"Philadelphia Fair Criminal Record Screening Standards Ordinance. Under Phila. Code chapter 9-3500, as amended with effect from January 6, 2026, the Company may not inquire into criminal history before a conditional offer of employment. The Company may not consider summary offenses, misdemeanor convictions where the underlying arrest or the release from incarceration, whichever is later, occurred more than four years before the inquiry, felony convictions where that date occurred more than seven years before the inquiry, or records that have been expunged or sealed.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Pennsylvania (City of Philadelphia)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"52084f93-2ab1-480e-bc1e-4322875d8f8a","order":97,"text":"Before making a final decision to reject you on the basis of criminal history, the Company will give you written notice identifying the specific convictions considered, a copy of the criminal record relied upon, a plain-language summary of your rights under that ordinance, a statement that evidence of error, of rehabilitation and of mitigation will be considered together with a list of the types of evidence that may be offered, and instructions explaining how to provide that evidence. The Company will allow you at least ten business days in which to respond before making a final determination.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Pennsylvania (City of Philadelphia)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"09641244-cb90-4ed8-861a-0fc0b1147276","order":98,"text":"The City of Philadelphia also restricts the use of credit information in employment decisions except for the exempt categories of position defined by its ordinance.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Pennsylvania (City of Philadelphia)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"ce54bf1e-2cd0-4af1-91db-1b19c4aa1820","order":99,"text":"Washington State","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Washington State","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"a883803c-f34d-4ee2-95f8-5538f5975c96","order":100,"text":"Washington Fair Credit Reporting Act. Under RCW 19.182 you have the right to request from the consumer reporting agency a written summary of your rights and remedies. Where an investigative consumer report is prepared, you have the right to request a complete and accurate disclosure of the nature and scope of the investigation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Washington State","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"1a693e22-60bb-4000-a033-75eb83a3696b","order":101,"text":"Washington Fair Chance Act. Under RCW 49.94 the Company may not advertise a position in a way that excludes applicants with criminal records, may not include a question about criminal records on the application, and may not obtain or consider information about your criminal record until after a conditional offer of employment has been made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Washington State","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"ab6b82eb-f0f3-411e-a2e1-28513e10206d","order":102,"text":"Before rejecting you, or denying you a promotion, on the basis of your criminal record, the Company will identify the record relied upon, explain the legitimate business reason for its decision, and hold the position open for at least two business days so that you may correct or explain the record or provide information about your rehabilitation, good conduct, work experience, education or training. The Company will provide the guide published by the Washington Attorney General where the statute requires it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Washington State","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3bd81b5e-2ab6-4707-b329-d66d1ee0d873","order":103,"text":"Under RCW 19.182.020 a consumer report containing information bearing on your credit worthiness, credit standing or credit capacity may be furnished for employment purposes only where that information is substantially job related and the reasons for its use are disclosed to you in writing, or where the report is required by law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Washington State","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="},{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"no","type":"remove","operator":"="}]},{"id":"44bd6397-0f27-4a71-8e4a-f3bf8e7b3f7e","order":104,"text":"Other states","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}],"marginTop":"14"},{"id":"e64b5433-924d-418f-9157-319a36182e59","order":105,"text":"Maine. Upon your request the Company will inform you, within five business days, whether a consumer report was requested and, if so, the name and address of the consumer reporting agency (10 M.R.S.A. § 1314(3)).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"02a75051-5ae7-490e-964b-1131d47c4f9b","order":106,"text":"Applicants and employees in other states may have further rights under state consumer reporting statutes, ban-the-box statutes and credit-check statutes. Those rights are preserved in full and are not limited by this document.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"899ffc72-eb1b-4107-9498-753f2fbccae8","order":107,"text":"Nothing in this Part limits any right you have under federal, state or local law. Where the laws of more than one jurisdiction apply, the Company will comply with the provision that is most protective of you.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"marginTop":"14"},{"id":"988e8478-c30a-46ad-8eee-6e5b09362b56","order":108,"text":"PART III — AUTHORIZATION AND CONSENT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"fa42ceca-e413-4f76-ae24-ae752f43a18e","order":109,"text":"Read Part I and Part II before signing this Part. Sign only if you consent to the matters set out below.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"bb7edee2-e255-4a61-affc-749a2ba480fc","order":110,"text":"I have read and I understand the disclosure in Part I concerning the consumer reports and investigative consumer reports that [Legal name of the company] may obtain about me for employment purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"68fc522e-22f9-45a5-b11d-902cd51488ae","value":"yes","type":"add","operator":"="}]},{"id":"a92e18ae-b8d1-481a-8104-82922c4e5e87","order":111,"text":"I have read and I understand the disclosure in Part I concerning the consumer reports that [Legal name of the company] may obtain about me for employment purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"68fc522e-22f9-45a5-b11d-902cd51488ae","value":"no","type":"add","operator":"="}]},{"id":"1a52894d-601d-44aa-bfc6-cbfb6b496ad0","order":112,"text":"I acknowledge that I have received Part I and Part II of this document, and a copy of the document entitled A Summary of Your Rights Under the Fair Credit Reporting Act.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"e685881b-babc-45c2-b4fa-81cc46b5f534","order":113,"text":"I authorize [Legal name of the company] and its authorized agents to obtain such reports about me, and I authorize [Name of the screening company] and any other consumer reporting agency instructed by the Company to prepare and furnish them.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"559cce4d-8fc5-4453-925d-f67dc07005e1","order":114,"text":"I authorize any person, business, educational institution, licensing authority, law enforcement agency, court, public record repository, former employer, former landlord, motor vehicle authority or other entity holding information about me to furnish that information to the consumer reporting agency named above, and I release each of them from liability for doing so to the extent that the law permits such a release. Nothing in this paragraph releases the Company or the consumer reporting agency from any obligation owed to me under the Fair Credit Reporting Act or under state law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5aebd83a-4d03-44b7-b6a8-89d92d344b62","order":115,"text":"If I am employed or engaged by the Company, I agree that this authorization remains in effect throughout my employment or engagement and constitutes an ongoing authorization for the Company to obtain consumer reports and investigative consumer reports about me at any time during that period, to the extent permitted by applicable law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"3bc4600b-260d-44c4-9be8-e1a062f68d4f","value":"yes","type":"add","operator":"="}]},{"id":"9eb0b9ac-13fc-4669-a6cc-c3076fa8104d","order":116,"text":"This authorization relates only to reports obtained in connection with my present application. I understand that a further disclosure will be given to me, and a further authorization obtained, before any additional report is requested after a hiring decision has been made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"3bc4600b-260d-44c4-9be8-e1a062f68d4f","value":"no","type":"add","operator":"="}]},{"id":"3a71f3c2-8856-4194-9f4f-4309528b3a22","order":117,"text":"I may revoke this authorization prospectively, in writing, at any time. Revocation does not affect the lawfulness of anything done before it takes effect, does not oblige the Company to disregard information already lawfully obtained, and does not override any legal requirement that the Company obtain a report.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3b9ce0de-fc68-4460-882f-4d4f43619a92","order":118,"text":"I understand that this document is not a contract of employment, is not a promise of employment, and is not a waiver or release of any right or claim that I may have against the Company or against any consumer reporting agency.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"12c04058-7751-4f14-aa96-7a5b3774929f","order":119,"text":"Electronic delivery and electronic signature","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"marginTop":"14"},{"id":"c4e8335c-1a23-46f5-8291-b63340ab8ab9","order":120,"text":"Where this document is delivered to you electronically and signed by you electronically, the following applies. You consent to receive in electronic form this disclosure, this authorization, the state and local notices, any consumer report provided to you and every notice relating to adverse action. You confirm that you are able to access and to retain documents in the format in which they are provided. You may withdraw that consent at any time by writing to the Company at the address given in this packet, and the documents will then be provided to you on paper. Your electronic signature has the same legal effect as a handwritten signature under the Electronic Signatures in Global and National Commerce Act, 15 U.S.C. § 7001.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"8e87c198-61b3-4204-af5f-0bac29290899","order":121,"text":"You are not required to sign this authorization. If you do not sign it, no consumer report will be obtained about you, and the Company may be unable to continue processing your application for a position for which a background check is required.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"b77b4f69-d34a-48d3-a609-f765ec006c12","order":122,"text":"No consumer report will be obtained about you before your signed authorization has been received.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"2dd76fa9-ff42-41b0-bf26-10334da3c60d","order":123,"text":"Request for a copy of the report","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"marginTop":"14"},{"id":"ab4123d3-ffc3-4766-a2c1-1c074fa31834","order":124,"text":"Check the box below if you wish to receive a copy of any consumer report or investigative consumer report obtained about you. Applicants in California, Minnesota and Oklahoma have a statutory right to receive a copy.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"4dbe9c31-f3ce-461b-93c3-f98ed4041af8","order":125,"text":"[   ]  Yes — please send me a copy of any report obtained about me.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"a366cfa2-76fb-4c9a-abc5-bec95e8127e1","order":126,"text":"Applicant identification","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"marginTop":"14"},{"id":"6036ce7a-b402-4dd9-b4fd-49c6a64b6424","order":127,"text":"The information below is used only to identify you to the consumer reporting agency. It will not be used for any discriminatory purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d8196ac3-aa92-4ac8-a6fb-665d58f3d37b","order":128,"text":"Full legal name, first, middle and last: _______________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"e6a36294-8f8a-48cf-8813-6d4a114a97c5","order":129,"text":"Any other name you have used, and the dates on which it was used: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"2dcfbedc-6f13-499c-983b-c89f5b6b27c4","order":130,"text":"Current address: ______________________________________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"40362668-a8ce-4c49-9136-ca21a2164b28","order":131,"text":"Addresses for the past seven years: ___________________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"70f218b0-cea2-460c-975c-8447dc8e6cd0","order":132,"text":"Date of birth, for identification only: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"dde6a9c3-b010-4880-80fa-d459e20aa01b","order":133,"text":"Social Security number, for identification only: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"944dbb16-c6d9-44cd-ae6c-2e49f0fcd821","order":134,"text":"Driver license number and issuing state: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"ce68ad97-33af-4433-8d2c-a8cbc454ceac","value":"yes","type":"add","operator":"="}]},{"id":"06a4276b-d965-4489-9648-f75bed7d46ec","order":135,"text":"Telephone: ______________________ Email: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"4a6b3c66-1915-4c29-85d2-153f5dc057f9","order":136,"text":"Signature: ______________________________________ Date: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"e7522161-3c27-464c-a412-0d621aa0df09","order":137,"text":"PART IV — INDIVIDUALIZED ASSESSMENT RECORD","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"2e8dd128-4c35-43b8-b309-0e3e505f5e49","order":138,"text":"Complete this Part before sending the notice in Part V whenever the Company is considering adverse action wholly or partly because of criminal history information. The assessment must be a reasoned, evidence-based determination and not a mechanical exclusion. It is required by the fair-chance laws of many states and cities, and it is expected by the guidance of the Equal Employment Opportunity Commission on the consideration of arrest and conviction records under Title VII of the Civil Rights Act of 1964.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"31b26624-c3b8-4fb1-8ef3-79cc2190b179","order":139,"text":"Applicant or employee: ______________________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"20d33d4e-f8c7-4ec9-80e5-548af13079a6","order":140,"text":"Position: [Position title]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"ec56046e-d864-4d07-9a00-7bd94ce0488e","order":141,"text":"Date of the report: ______________________ Date of this assessment: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"63d62ac1-6863-452b-910f-5f7d9896fa82","order":142,"text":"Criminal history information relied upon, identifying each item precisely: ____________________________________________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"7c18f3f0-3763-4b05-bbae-66171c4e1468","order":143,"text":"— Nature and gravity of the offense or conduct, including the specific personal harm caused, the legal elements of the offense, and whether the charge was dismissed or reduced: ____________________________________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"386bfa90-c859-4f2e-be06-69b228a99039","order":144,"text":"— Time that has elapsed since the offense or conduct and since the completion of any sentence: ____________________________________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"f1b18eb3-abbf-4fef-8160-32014f89cefe","order":145,"text":"— Nature of the position held or sought, including its specific duties, the degree of supervision, the frequency and degree of contact with the public, with colleagues or with vulnerable persons, and the working environment: ____________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"9f65c39b-4813-406a-8c80-b4325ff90c3f","order":146,"text":"— Whether the criminal history has a direct and adverse relationship with the specific duties of the position that justifies denying the applicant the position: ____________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"ca315dfc-2122-4199-b0ee-cbe6d1b88eb3","order":147,"text":"— Evidence of rehabilitation and mitigating circumstances, including the age of the applicant at the time of the conduct, the employment history since that time, education and training, certificates of relief or of good conduct, and references: ____________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"92d2c48f-54e1-4ca9-b0ec-8d79485435e0","order":148,"text":"— Whether a less discriminatory alternative would meet the business necessity relied upon: ____________________________________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"e01e62a8-10c2-4ce3-9414-494793d23204","order":149,"text":"Preliminary determination:  [  ] proceed with the offer   [  ] preliminary decision to withdraw the offer","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"f361ba92-d595-4359-a405-9e43be0c7a7b","order":150,"text":"Assessor name and title: ____________________________ Signature: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"80ea73ee-d84f-4671-817a-972484407a7d","order":151,"text":"PART V — PRE-ADVERSE ACTION NOTICE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"a9454d80-80ba-4226-8b06-ffcbc413ff84","order":152,"text":"Send this notice, together with a complete copy of the consumer report and a copy of the document entitled A Summary of Your Rights Under the Fair Credit Reporting Act, before taking any adverse action based in whole or in part on the report. Both enclosures are required by 15 U.S.C. § 1681b(b)(3)(A).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"afdc9e62-42b4-4de7-872a-a2e355ae4ea9","order":153,"text":"[Legal name of the company]
[Street address]
[City, state and ZIP code]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"f49b0cf6-6344-49be-90df-c7c29e667029","order":154,"text":"Date: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"a8b3d225-99f9-419d-9aa6-9d11757c9dcb","order":155,"text":"To: ______________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"52193854-df3f-4f8c-8f1a-dbe8679ddddb","order":156,"text":"Address: _________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"f19760d0-3a6c-49db-ac90-8100dd1e4d4e","order":157,"text":"Re: position of [Position title] — notice before adverse action","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"c53eef07-3d74-459b-9e92-96f581cf1f68","order":158,"text":"Dear ______________________,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"042b51db-f184-4d3e-aa33-f203a3ab134d","order":159,"text":"In connection with your application for, or your continued engagement in, the position identified above, [Legal name of the company] (the Company) has obtained a consumer report about you from [Name of the screening company], of [Street address], [City, state and ZIP code], website [Website], telephone [Telephone number].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"69b5ae1c-1978-4b02-be0a-c21fb7353f37","order":160,"text":"The Company is considering taking adverse action with respect to that application or engagement, wholly or partly because of information contained in that report. No final decision has been made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d16ff499-db72-49e0-8af0-f57775e31aec","order":161,"text":"Enclosed with this letter you will find a complete copy of the consumer report on which the Company may rely and a copy of the document entitled A Summary of Your Rights Under the Fair Credit Reporting Act, prepared by the Consumer Financial Protection Bureau.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5d5a9e53-1c20-4583-b499-a7d849f5435f","order":162,"text":"If the report is an investigative consumer report, you may request a complete and accurate disclosure of the nature and scope of the investigation. That disclosure will be provided to you in writing within five days of the receipt of your request.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"68fc522e-22f9-45a5-b11d-902cd51488ae","value":"yes","type":"add","operator":"="}]},{"id":"3893d758-720e-4a68-a73c-84a0acda4ba6","order":163,"text":"The consumer reporting agency named above did not make the decision that is under consideration and is not able to give you the reasons for it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"27aff3b3-40d6-4b81-9c03-849d83c6953d","order":164,"text":"You have the right to dispute the accuracy or completeness of any information contained in the report directly with that consumer reporting agency, and to obtain a further copy of the report from that agency free of charge if you request it within sixty days.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d9e349ec-567d-45bb-bafa-251e3991da13","order":165,"text":"If you believe that the report is inaccurate or incomplete, or if you wish to provide evidence of rehabilitation, evidence of mitigating circumstances or any explanation that you consider relevant, please contact the Company at [Address or email for the applicant response] within [Number] business days of the date of this letter. The Company will hold the position open and will take no final action during that period, and it will consider everything you provide before making a final decision.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"44fd4622-0ce7-4dbf-9ad6-0f8379e51e09","order":166,"text":"A dispute lodged with the consumer reporting agency is ordinarily reinvestigated within thirty days (15 U.S.C. § 1681i(a)). If you tell the Company that you have lodged a dispute, the Company will await the outcome of the reinvestigation before making its final decision, unless waiting would be unreasonable in the circumstances.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c4e0fc03-e238-441c-ab50-ad347785b24b","order":167,"text":"Where the law of the state or locality in which you reside, or in which the position is located, requires the Company to allow a longer period, or to hold the position open for longer, than the number of business days stated above, that longer period applies and the Company will observe it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"ab49f905-7c8c-4065-b4e3-5b302158314f","order":168,"text":"If within that period you notify the Company in writing that you dispute the accuracy of criminal history information and that you are obtaining evidence to support that assertion, the Company will allow you a further five business days in which to respond.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"ac8bb3be-8ea3-4b67-86d0-6a61ddd93256","order":169,"text":"Sincerely,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"bf6dca29-0dbf-45ef-a329-e3e38d71f6dd","order":170,"text":"[Name of the company contact]
[Job title]
[Legal name of the company]
Telephone: [Telephone number]  Email: [Email address]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"03832f5f-5584-4381-9027-63a0b352a440","order":171,"text":"Enclosures: a complete copy of the consumer report; a copy of A Summary of Your Rights Under the Fair Credit Reporting Act.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"228fd1d8-6750-4a80-8675-52feb2bdfc03","order":172,"text":"Also enclosed: a printed copy of Article 23-A of the New York Correction Law.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"047713f2-cfba-49ea-b688-dfbad347af81","order":173,"text":"Also enclosed: the written analysis by the Company of the relevant fair chance factors, as required by the New York City Fair Chance Act.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"db696965-a506-4c91-afc5-e662c365395f","order":174,"text":"Also enclosed: a copy of the criminal offender record information policy of the Company and information about the process for correcting a criminal record.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Massachusetts","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"ffe6a0a5-76e4-412a-b161-4c56b6f2533c","order":175,"text":"Also enclosed: a plain-language summary of your rights under the Fair Criminal Record Screening Standards Ordinance of the City of Philadelphia, together with a list of the types of evidence of error, rehabilitation and mitigation that the Company will consider.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Pennsylvania (City of Philadelphia)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"374989e4-e178-4741-87c0-6e3e9994ec07","order":176,"text":"PART VI — FINAL ADVERSE ACTION NOTICE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"2b5ea394-363c-4422-97b2-61a29ea3545a","order":177,"text":"Send this notice only after the response period stated in the pre-adverse action notice has expired and any response received has been considered. It satisfies 15 U.S.C. § 1681m(a).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"bca7ccd2-6018-491e-bdd7-2be0e015fb93","order":178,"text":"[Legal name of the company]
[Street address]
[City, state and ZIP code]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"f1a5b4ad-7963-441a-ae2e-225a47f79825","order":179,"text":"Date: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"f2ac9a0b-8fe5-4cdf-bdab-4580fcf142cb","order":180,"text":"To: ______________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"1bb0bd65-7bac-4196-9e28-4eeaeba89b5a","order":181,"text":"Address: _________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"e1b1e164-5415-440d-ae09-a729ac9c33c3","order":182,"text":"Re: position of [Position title] — notice of adverse action","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"d4825dec-33a9-4ccd-89be-45e7bde04c18","order":183,"text":"Dear ______________________,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c10a49c5-6662-4298-be68-95c9f19ef246","order":184,"text":"Further to the notice previously sent to you, and having considered any information that you provided in response, [Legal name of the company] (the Company) has decided to take adverse action with respect to your application or engagement for the position identified above. That decision was based in whole or in part on information contained in a consumer report.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"4d130dac-5c53-4af1-80cd-e18c5502fc76","order":185,"text":"The consumer report was furnished by [Name of the screening company], of [Street address], [City, state and ZIP code], website [Website], telephone [Telephone number].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"4627b27f-455f-4583-a3ba-a62eada8f8f9","order":186,"text":"That consumer reporting agency did not make the decision to take adverse action and is not able to provide you with the specific reasons for it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"0c993fd3-51ac-4bee-b4bd-b5bf1cff01f0","order":187,"text":"You have the right to obtain a free copy of the consumer report from that consumer reporting agency if you request it within sixty days of receiving this notice.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"f12a87fd-ac00-4e0c-b7a9-0060bacd5ca7","order":188,"text":"You have the right to dispute directly with that consumer reporting agency the accuracy or completeness of any information it furnished.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"ed534a72-c535-4cad-829e-3add3ce141eb","order":189,"text":"If a credit score was used in connection with this decision, you have the right to obtain from that consumer reporting agency the score, the range of possible scores under the model used, the key factors that adversely affected the score, the date on which the score was created and the name of the entity that provided it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"a62baffb-bdca-40f7-8260-cc056182d499","value":"yes","type":"add","operator":"="}]},{"id":"169ce14f-3bb0-49c7-8903-e87412738ac8","order":190,"text":"If a reinvestigation does not resolve a dispute to your satisfaction, you may file with the consumer reporting agency a brief statement setting out the nature of the dispute. That agency must include the statement, or a summary of it, in your file and in reports containing the disputed information (15 U.S.C. § 1681i(b)).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"46612b79-7317-4470-af00-939e40d55fcc","order":191,"text":"The federal Fair Credit Reporting Act gives you the right to know what is contained in your file, to dispute incomplete or inaccurate information, and to have inaccurate or incomplete information corrected or deleted. A copy of A Summary of Your Rights Under the Fair Credit Reporting Act was sent to you with the earlier notice. A further copy will be provided by the Company on request.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7594bf19-d5a7-48d8-aecf-a1e40417d2be","order":192,"text":"You have the right to receive a copy of the consumer report if you did not receive one earlier, and to dispute and correct any errors it contains (Minn. Stat. § 13C.03).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"Minnesota","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3a8e38d9-d997-4ab5-9533-4d6689654b68","order":193,"text":"A written statement of the reasons for this decision will be provided to you within thirty days of your written request (N.Y. Correction Law § 754).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York City","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"New York State (outside New York City)","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"3f2a0a79-fa8a-42e7-90c6-b81b2f0aa1f1","order":194,"text":"Sincerely,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"78eea134-8624-4f16-b562-a58700c9d3fb","order":195,"text":"[Name of the company contact]
[Job title]
[Legal name of the company]
Telephone: [Telephone number]  Email: [Email address]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"324af831-cb33-4886-9202-50c901f1c92c","order":196,"text":"PART VII — CERTIFICATION TO THE CONSUMER REPORTING AGENCY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"5982e697-d974-436b-8948-718e22cf0044","order":197,"text":"Provide this certification to the consumer reporting agency before any report is ordered. It is required by 15 U.S.C. § 1681b(b)(1).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"9ff69169-9c67-4a27-9c84-0cda0aaa9ba8","order":198,"text":"To: [Name of the screening company], of [Street address], [City, state and ZIP code]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"3244ad40-18af-4b93-a6eb-78603afbf082","order":199,"text":"[Legal name of the company] (the Company) certifies to you as follows.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"56c2df7d-54e1-48e1-83dd-e7bb8418212c","order":200,"text":"The Company has a permissible purpose and will obtain and use consumer reports about applicants and employees for employment purposes only, and for no other purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"613b8a6e-44c3-4509-b4e3-884592f1bc97","order":201,"text":"Before any report is procured, the Company has provided the consumer with a clear and conspicuous written disclosure, in a document that consists solely of that disclosure, stating that a consumer report may be obtained for employment purposes, and has obtained the written authorization of the consumer.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"e9d14b42-a788-4b20-88b1-ab393d9550a3","order":202,"text":"The Company will not use any information contained in a consumer report in violation of any applicable federal or state equal employment opportunity law or regulation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6f80ca72-d90d-47bf-a4f7-bad260f83c99","order":203,"text":"Before taking any adverse action based in whole or in part on a consumer report, the Company will provide the consumer with a copy of the report and with the written description of consumer rights prescribed under 15 U.S.C. § 1681g(c)(3), and will afterwards provide the notice required by 15 U.S.C. § 1681m(a).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c8823afb-fe58-4391-96dc-06dbfede889c","order":204,"text":"Where an investigative consumer report is requested, the Company has made the disclosures required by 15 U.S.C. § 1681d(a) and will comply with 15 U.S.C. § 1681d(b).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"68fc522e-22f9-45a5-b11d-902cd51488ae","value":"yes","type":"add","operator":"="}]},{"id":"4a130d70-b3fd-4265-bbef-f1b0ba45c6ca","order":205,"text":"Where an investigative consumer report is requested in respect of a California resident, the Company certifies that it has made the disclosures required by Cal. Civ. Code § 1786.16(a) and that it will comply with Cal. Civ. Code § 1786.16(b).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"California","type":"add","operator":"="},{"field":"05a8fe14-b595-4970-8dae-2cdef6381fb1","value":"All U.S. states","type":"add","operator":"="}]},{"id":"a89cbb70-f662-4351-899d-816bc49eea5a","order":206,"text":"This certification is signed for and on behalf of [Legal name of the company] by the person named below.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"5f524660-dc67-450c-81ac-e72a45d096c8","order":207,"text":"Name: [Name of the company contact]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"757acee5-5cf6-4abf-a002-884a3d96bfee","order":208,"text":"Title: [Job title]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"c778b906-eab5-4785-9728-0b516ef1fc65","order":209,"text":"Signature: ______________________________________ Date: ______________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"4e4d3a4c-531e-4e81-bc8e-9eb6f1c968f9","order":210,"text":"PART VIII — DELIVERY AND FILE RECORD","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"12","cflou":false,"active":true,"marginTop":"30"},{"id":"82149eb8-1cb8-4520-b7ef-33129088fd11","order":211,"text":"Complete this record and retain it with the signed authorization. Where a claim is brought under the Fair Credit Reporting Act the decisive questions of fact are what was given to the applicant, when, in what form and by whom. A record made at the time answers them; a reconstruction made later does not. This Part is for the file of the Company and is not given to the applicant.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"0449b9fc-8a4d-4837-901e-85d0eded0030","order":212,"text":"Applicant: ______________________________________ Position: [Position title]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"d7632f03-fb3c-4fc3-8d09-1415a1d9fd68","order":213,"text":"Part I disclosure given on ______________ by ______________ [  ] in person  [  ] by mail  [  ] electronically","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"a1288b72-884c-404d-a33b-9b0552e1b6c0","order":214,"text":"Part II notices given on ______________ and Part III signed and returned on ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"c7eb9c94-915f-45ca-851d-e370c82435c4","order":215,"text":"[  ] The applicant declined to sign. No report was ordered. Recorded on ______________ by ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"e9e4d453-c151-4775-8ca0-128cf6008c7b","order":216,"text":"Certification in Part VII sent to the consumer reporting agency on ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"962e5d70-8e20-4ff3-a560-bf69704fbdf6","order":217,"text":"Report ordered on ______________ Report received on ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"ee214b57-fba6-4a9c-b2f7-f2624aff3b3a","order":218,"text":"Copy of the report requested by the applicant: [  ] no  [  ] yes, sent on ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"5fea517f-69be-44f6-be76-01e640857604","order":219,"text":"Part IV individualized assessment completed on ______________ by ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"43d3d671-8b78-46cf-8b0a-d81dda527d8e","order":220,"text":"Part V pre-adverse action notice sent on ______________ [  ] in person  [  ] by mail  [  ] electronically","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"289cbc04-0ec3-493f-9843-5e2e74790a62","order":221,"text":"Enclosed with it: [  ] complete copy of the report  [  ] summary of rights  [  ] jurisdiction-specific enclosures listed in Part V","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"96526d87-0820-4467-8d6e-854eba3feb23","order":222,"text":"Response period expired on ______________ Response received: [  ] none  [  ] on ______________, considered by ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"e5e7bb15-fdc9-4f7c-a5e2-857fac4a5aec","order":223,"text":"Part VI final adverse action notice sent on ______________ by ______________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"2667904a-c01a-4280-a566-5c027645f7e2","order":224,"text":"Report and associated file scheduled for secure disposal on ______________ in accordance with the disposal policy of the Company","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true}]