P. O. Box 61154
King of Prussia, PA 19406
OFFICE: 215-576-7336 FAX:
RELEASE OF LIABILITY
In connection with my application for employment with: ____________________________________________
I hereby authorize all corporations, companies, educational institutions, individuals, law
enforcement agencies, present and former employers to release any and all information that they may have about me and further do release them from any liability and responsibility from doing
so. I authorize the procurement of an investigative consumer report and understand that such report may contain information of my background, mode of living, character
and personal reputation.
This authorization, in original or copy form, shall be valid for this and any future or
subsequent investigations that may be requested.