Information Release Authorization - Download Free Template
Information Release Authorization

Edit Template
information-release-authorization

APPLICANT INFORMATION RELEASE

 

 

This Agreement ("Agreement") is made and effective this [Date],

 

 

BETWEEN: [EMPLOYEE NAME] (the "Employee"), an individual with his main address at:

[COMPLETE ADDRESS]

 

 

AND: [YOUR COMPANY NAME] (the "Company"), a corporation organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:

[YOUR COMPLETE ADDRESS]

 

 

 

In connection with my application for employment with the Company, I hereby agree as follows:

 

 

I hereby authorize any person, educational institution, or company I have listed as a reference on my employment application to disclose in good faith any information they may have regarding my qualifications and fitness for employment. I will hold the Company, any former employers, educational institutions, and any other persons giving references free of liability for the exchange of this information and any other reasonable and necessary information incident to the employment process.

 

 

EMPLOYEE COMPANY

 

 

 

Authorized Signature Authorized Signature

 

Print Name and Title Print Name and Title