Sierra HR Partners

ORDER FORM


Client Information

 

 

 

Applicant Information

 

 

 

 

If "County Criminal" 

 

If "Federal Criminal"

 

If "County Civil" 

 

If "Federal Civil"

 

If "DMV Report"

 

In compliance with AB 1008, for criminal search (please check one):

 

Special Instructions

 

The Company certifies that the information is requested for employment purposes; that the selected searches above are based on the applicant’s residences by county for the prior seven years. The information will not be used for any other purpose, nor will the information be used in violation of any applicable federal or state equal employment opportunity law or regulation. If any adverse action is to be taken based on the consumer report, a copy of the report and a summary of the applicant’s rights will be provided to the applicant. Upon the written request of the applicant, the Company will make a complete disclosure of the nature and scope of any investigative consumer report requested.


Due to a variety of factors, including incomplete government records and other errors by third parties, Sierra HR Partners cannot guarantee 100 percent accuracy of the results. Sierra HR Partners will, however, take all reasonable efforts to obtain complete and accurate results.

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Signature Certificate
Document name: ORDER FORM
lock iconUnique Document ID: 28fd89d63cbf179a7e6466a5f51f1386fed141e0
Timestamp Audit
November 27, 2020 10:32 am PSTORDER FORM Uploaded by Nancy Vang - tcrumpler@bctconsulting.com IP 73.90.81.230