(This form may be used with outgoing employees regarding reference checks from prospective employers. Typically, a company would use this form if the prospective employer does not have a signed reference release, or if your company feels the prospective employer’s release is lacking. It can be modified for use with current employees who may have credit-related inquiries as well.)
I hereby authorize (NAME OF YOUR COMPANY) to give (NAME OF PROSPECTIVE EMPLOYER) any and all information concerning my previous employment, which includes any relevant information and opinions that may be useful in making a hiring decision. This information may include information as to your character, social security number verification, present and former addresses, salary history, dates of employment, job title/description history, performance record, reason for separation of employment, general reputation, and/or personal characteristics. By signing this document you agree to the investigation and agree to cooperate in such investigations and release any and all persons and (NAME OF YOUR COMPANY) or others from any and all liability from furnishing information and opinions (whatever is truthful or made in good faith) to the above named company seeking the reference.