Consumer Disclosure And Authorization Form - Michigan State University
Michigan State University
CONSUMER DISCLOSURE AND AUTHORIZATION FORM
FOR FACULTY, ACADEMIC STAFF AND EXECUTIVE MANAGEMENT
Disclosure Regarding Background Investigation
Michigan State University (the “Company”) may request, for lawful employment purposes, background information
about you from a consumer reporting agency in connection with your employment or application for employment
(including independent contractor assignments, as applicable). This background information may be obtained in the
form of consumer reports and/or investigative consumer reports (commonly known as “background reports”). These
background reports may be obtained at any time after receipt of your authorization and, if you are hired or engaged by
the Company, throughout your employment or your contract period. The information obtained from the background
reports will only be used by the Company for employment purposes as provided under the Fair Credit Reporting Act,
which means that the information obtained from the background reports will be used for the purpose of evaluating a
consumer for employment, promotion, reassignment or retention of the employee.
HireRight, Inc., or another consumer reporting agency, will prepare or assemble the background reports for the
Company. HireRight, Inc. is located and can be contacted by mail at 5151 California, Irvine, CA 92617, and HireRight
can be contacted by phone at (800) 400-2761. Information about HireRight’s privacy practices is available at
www.hireright.com/Privacy-Policy.aspx.
The background reports will include information from the following background checks:
•
Verification of Social Security Number
•
Examination of County Criminal Records
•
Examination of State Criminal Records
•
Examination of Federal Criminal Records
•
Examination of Sex Offender Registries
•
Examination of Federal Debarment Lists
•
Verification of Degrees
A more comprehensive background investigation may be required pursuant to state or federal law or for certain
sensitive positions (such as those with significant financial responsibilities).
This information may be obtained from private and public record sources, including, as appropriate: government
agencies and courthouses and educational institutions.
You may request more information about the nature and scope of any investigative consumer reports by contacting the
Company. A summary of your rights under the Fair Credit Reporting Act is also being provided to you.
ADDITIONAL STATE LAW NOTICES
If you are a California, Maine, Massachusetts, New York or Washington State applicant, employee or contractor, please
also note:
CALIFORNIA: Pursuant to section 1786.22 of the California Civil Code, you may view the file maintained on you by
HireRight during normal business hours. You may also obtain a copy of this file, upon submitting proper identification
and paying the costs of duplication services, by appearing at HireRight’s offices in person, during normal business hours
and on reasonable notice, or by certified mail. You may also receive a summary of the file by telephone, upon
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