Authorization to Release Information for Potential Employers

for Your State

Employee Authorization to Release Information to a new potential employer.

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Typically, potential employers will want to check the truthfulness and validity of the assertions made by a candidate on a resume or job application. For example, a potential employer may want to be assured that the candidate had not been fired from a previous position or that his educational credentials were in fact earned by him. However, past and present employers and schools may be hesitant to release this information for fear of violating the candidate's privacy. To combat this, a potential employer can use an Authorization to Release Information. This release is signed by the candidate when he applies for a position and expressly allows past and present employers and schools to release information to the employer regarding such things as performance evaluations, work-related characteristics and termination records.

This form can be used in all states.

This package contains: (1) Instructions and Checklist for the Authorization to Release Information (the "Authorization); (2) Information regarding the Authorization; (3) the Authorization.
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#20479
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.












Authorization to Release Information















This Packet Includes:
1. Instructions & Checklist
2. General Information
3. Authorization to Release Information








Instructions & Checklist
 Authorization to Release Information

   Review your company policies to ensure the Authorization complies with your companys procedures, if any exist, regarding job applicants and their release of information.

   The candidate must sign and date the Authorization.

   Bold, italicized instructions have been inserted in the Authorization to help guide you.  Erase these instructions before printing the final form of your Authorization.

   Keep a copy of the Authorization in your files for future reference.

   Laws vary from time to time and from state to state. This form is not intended to be and is not a substitute for legal advice. This form should only be a starting point for you and should not be used or signed before first consulting with an attorney to ensure that it addresses your particular situation. An attorney should be consulted before negotiating any document with another party.  

   The purchase and use of these forms is subject to the “Disclaimers and Terms of Use” found at www.findlegalforms.com.







General Information
Authorization to Release Information


Typically, potential employers will want to check the truthfulness and validity of the assertions made by a candidate on a resume or job application.  For example, a potential employer may want to be assured that the candidate had not been fired from a previous position or that his educational credentials were in fact earned by him.  However, past and present employers and schools may be hesitant to release this information for fear of violating the candidates privacy.  To combat this, a potential employer can use an Authorization to Release Information.  This release is signed by the candidate when he applies for a position and expressly allows past and present employers and schools to release information to the employer regarding such things as performance evaluations, work-related characteristics and termination records.  

States may have different laws relating to the release of information so you should become familiar with the laws of your state before using this form. In addition, before using this form you should consult with your attorney to ensure that it addresses your specific situation.






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FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice.  The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice.  An attorney should be consulted for all serious legal matters.  No Attorney-Client relationship is created by use of these materials.  

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Authorization to Release Information


   I hereby authorize ____________________________________ [insert name of potential employer] to make any investigations of my prior employment or educational history.  This information will assist them in their assessment of my qualifications.

   I hereby authorize my present and past employers and schools that I have attended to release any employment information (including attendance records, performance evaluations, etc), references, academic records (including transcripts, credentials, etc.) and any other confidential information that _______________________________ [insert name of potential employer] may request.  

   I hereby waive any right I may have to review the information collected through the above authorization.  

   I have carefully read and reviewed all the provisions above and have voluntarily agreed to sign this authorization.





Date: ___________________________________

__________________________________________
(Signature of Candidate)

__________________________________________
(Printed Name of Candidate)

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