I certify that my answers are true and complete to the best of my knowledge. I hereby authorize Agency Security Group, LLC and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/investigative consumer report may include but is not limited to the following areas: verification of social security number, current and previous residences, employment history, education background, character references, drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, or county jurisdictions, driving records, birth records, or any other public records. I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Agency Security Group, LLC, and/or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, first, corporation, or public agency may have, to include information received from other sources. I hereby release Agency Security Group, LLC, the Social Security Administration, and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any all liability for damages of whatever kind, which may, at any time, result me, my heirs, family, or associates because of compliance with this authorization and request to release.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.