Disclosure & Authorization Forms

When providing these forms to your candidate, you will need to start with the
FCRA Summary of Rights followed by the FCRA Disclosure.

Provide the FCRA Disclosure form as a stand-alone document, separate from any other forms. If your background checks includes employment verifications, education verifications or professional references, you must also provide the investigative consumer report disclosure as a stand-alone document.

If your candidate lives in California, you must also provide a California Investigative Consumer Report Disclosure. This document must also be presented as a stand-alone document, separate from all other forms.

If your candidate lives in MA, MN, NJ, NY, WA, you must also provide the Additional State Disclosures form.

If your candidate lives in San Francisco, you must also provide the
San Francisco Fair Chance Ordinance Disclosure.

Once you have provided the required disclosures, you can then provide the authorization form. You must obtain their signed authorization form before their background check can be processed.

Before using these documents from our website, please get approval from your legal counsel.
Pink Screening expressly disclaims any warranties or responsibilities or damages associated with or arising out
of the information provided in, or the use of, these sample documents.

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Other Compliance Forms

Below you will find a sample Pre-Adverse Action notice and a Sample Adverse Action notice.

We offer a fully compliant and automated Pre-Adverse / Adverse process in our system at no cost to our clients.

Before using these documents from our website, please get approval from your legal counsel. Pink Screening expressly disclaims any warranties or responsibilities or damages associated with or arising out of the information provided in, or the use of, these sample documents.

Additionally, please be sure to follow these guidelines.

If your candidate lives in New York City of Los Angeles, you must complete and send with the Pre-Adverse
notice the individualized assessment form form that city. See forms below.

If your candidate lives anywhere else, you must type into the notice the
specific reason for initiating Pre-Adverse Action.

After sending the Pre-Adverse notice, you should wait at least 10 business
days before sending the final Adverse notice.

If your candidate files a dispute or if they submit an explanation, you should wait 10 business days
from when this occurs before sending the final Adverse notice (if final Adverse will be sent).

If your candidate lives in Los Angeles, you must include the completed Los Angeles
individualized assessment form with the final Adverse notice.