Pursuant to my application for employment with Mr. Bugg's Pest Patrol
I authorize the release of records/reports which may contain public and private information, including the following: names and dates of previous employers, reason for termination of employment, work experience, accidents, claims, litigation information, driving record, credit, bankruptcy proceedings, criminal records, etc. from Federal, State, Municipal, County, Banking Institutions, Retailers, Landlords, and other agencies which maintain such records. If hired or accepted, this authorization, release and disclosure will remain valid until the termination of employment, tenancy, or service.
I further understand I have the right to make a request to examine a consumer report upon proper identification and formal request. I hereby consent and authorize Employment Information Services, Inc. and/or its authorized agent(s) to obtain the above information from companies, institutions and individuals of their choosing.
I hereby release Employment Information Services, Inc. and all persons, business entities and governmental agencies, from any and all liability, claims and/or demands, by me, my heirs or personal representatives, successors, assigns, or others making such claim or demand on my behalf, for providing a consumer report hereby authorized.