Contractor Background Check Authorization

I hereby authorize the Company to conduct a background check as part of my application as a contractor. This may include verification of information provided, criminal background checks, and other related inquiries as required.

Contractor Information

Full Name

Date of Birth

Current Address

Phone Number

Email Address

Authorization

By signing below, I confirm that the information provided is accurate, and I authorize the Company to perform any necessary background checks as described above.

Signature

Date