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I, hereby give Data Facts, Inc. (hereinafter collectively referred to as “you”) the right to conduct an investigation to my Background. I understand that the investigation may include inquiry into my past employment, education, and activities, Including, but not limited to credit, criminal background information and I release from all liability which might result from making such investigation. Additionally, I agree that you may obtain an investigative consumer report or other information regarding me and may consult files which are available. I understand that, to the extent required by law. Data Facts, Inc. will retain the result of this investigation and a copy of my application of employment. I understand that any false answers, statements, implications, or derogatory information made by me or which is revealed as a result of this background investigation based on information supplied any application for employment, or other required documents, may be considered sufficient cause for denial of employment of discharge.
I understand that you may contact my previous employers and I authorize those employers to disclose to you all records pertinent to my employment with them. In addition to authorizing the release or any information regarding my employment, I hereby fully waive any rights or claims, I have or may have against my former employers, their agents, employees, and representative, as well as other individuals directly or indirectly result from the use, disclosure, or release of such information by an person or party, whether such information is favorable or unfavorable to me.
I have read and understood the Summary of Rights Under the Fair Credit Reporting Act and the Applicant Notification, a copy of which I acknowledge receiving, advising me that a comprehensive background investigation may be conducted, which may include inquiry into past employment, and activities, including but not limited to credit, criminal background information.
Sierra County maintains a driver record checking and verification program for prospective and current volunteers (hereafter referred to collectively as "Volunteer") and for current employees (hereafter referred to collectively as "Employee"). Sierra County may determine, at its discretion, not to allow driving privileges to any Volunteer or Employee lacking an acceptable record.
The undersigned volunteer or employee hereby authorizes Sierra County to monthly receive his or her driving record, and such authorization will remain in effect for one year or for the duration of the Volunteer or Employment status between Sierra County and the Volunteer or Employee, whichever period is longest. State and Federal privacy laws protect and prescribe restrictions regarding access to certain confidential and personal information. This form authorizes the release of motor vehicle driver's records information to the Organization named below for eligibility purposes regarding driving county
By signing below:
DISCLOSURE STATEMENT: Sierra County, when considering your eligibility to drive a county vehicle, has contracted with SAMBA
Holding, Inc. to provide driving records. SAMBA Inc. furnishes information as available from state and national agencies. SAMBA Inc. does not issue and opinion on the information provided or participate in any action or decision based on the information provided.