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I have carefully read, and understand, this Authorization of Background Investigation form and further acknowledge receipt of the separate document entitled "A Summary of Your Rights under the Fair Credit Reporting Act" (a copy provided by Spike Enterprise or at https://www.comsumer.ftc.gov/articles/pdf-0096-fair-credit-reporting-act.pdf)
and the "Applicant FCRA Disclosure Statement" and certify that I have read and understand both documents. By my signature below, I consent to the release of background reports and/or investigative background reports prepared by a consumer reporting agency, to Spike Enterprise and its designated representatives and agents for the purposes of determining my eligibility for employment, retention, or other lawful employment purposes. I further consent to the release of such background reports and/or investigative background reports to essential partners of Spike Enterprise, including but not limited to: industrial safety councils, and owners and/or operators of industrial facilities for which I may be asked to work on the premises of such industrial facility. I understand that if Spike Enterprise offers me a conditional offer of employment, my consent will apply, and Spike Enterprise may obtain background reports throughout my employment if permissible under applicable Spike Enterprise policy and consistent with applicable state and federal law.
I understand that information contained in my employment application, or otherwise disclosed by me before, or during, my employment, if any, may be used for the purpose of obtaining background reports and/or investigative background reports. I also understand that nothing herein shall be construed as an offer of employment. I hereby authorize law enforcement agencies, educational institutions (including public and private schools/universities), information service bureaus, consumer reporting agencies, record/data repositories, courts (federal, state, and local), motor vehicle records agencies, my past or present employers, the military, and other information sources to furnish any, and all, information on me that is requested by the consumer reporting agency.
California Applicants Only:
I acknowledge receipt of a copy of California Civil Code 1786.22.
Pursuant to Section 1786.22 of the California Civil Code, you may view the file maintained on you by the consumer reporting agency during normal business hours. You may also obtain a copy of this file, upon submitting proper identification by appearing at the consumer reporting agency's offices in person, during normal business hours and on a reasonable notice, or by mail. You may also receive a summary of the file by telephone, upon submitting proper identification. The consumer reporting agency will have trained personnel available to explain your file to you, including any coded information. By signing below, you acknowledge receipt of California Civil Code 1786.22, available from Spike Enterprise Human Resources Department or
New York Applicants Only:
I acknowledge receipt of a copy of Article 23-A of New York Correction Law.
By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law, available from Spike Enterprise Human Resources Department or at
By my signature below, I certify the information I provided on, and in connection with, this form is true, accurate, and complete. I agree that this Authorization form in original, facsimile, photocopy, or electronic (including electronically signed) formats, will be valid for any reports that may be requested by, or on my behalf of, Spike Enterprise.
California, Oklahoma and Minnesota:
You have the right to receive a copy of your background/investigative report by checking the box on the Authorization of Background Investigation form.
Massachusetts and New Jersey:
If we request an investigative background report, you have the right, upon written request, to a copy of the report.
Minnesota and Washington State:
If Spike Enterprise requests an investigative background report, you have the right, upon written request made within a reasonable period of time after your receipt of this disclosure, to receive from Spike Enterprise a complete and accurate disclosure of the nature and scope of the investigation requested by Spike Enterprise. Spike Enterprise will provide the disclosure of the nature and scope of the investigation either in five days after receiving your request or after requesting the investigative consumer report, whichever is later.