(800) 445-8001   |      |      |   

Compliance Documents

These sample forms or those approved by your counsel and submitted to SecurTest must be used when ordering background reports. (See below.)

 

DISCLAIMER: The links and forms herein will help you and your counsel comply with various federal and state regulations and understand common terms. The Resources Page is exclusively provided to our clients. The contents, forms, and sample documents should NOT be construed as legal advice, guidance or counsel. Users should consult their own attorney about their compliance responsibilities under the FCRA and applicable state and local laws. SecurTest, Inc. expressly disclaims any warranties or responsibility or damages associated with or arising out of information provided. Employers seeking credit reports must provide additional notices pursuant to state law. The various forms may require that you enter an authorized PASSWORD, which is case sensitive. Federal and various state laws require specific notices and disclosures be given to the candidate before a background check or consumer report is ordered. These resources are provided to you to serve as valuable navigational tools and resources to assist you. This information is intended for general educational and informational purposes only and is not legal advice, expressed or implied. If you need legal advice, consult with a qualified, licensed attorney.

Instructions:

1. Before you order the background screening online you will need to generate the Required Disclosure and Authorization forms and State or City notices below for each candidate.

2. If your candidate is NOT currently residing in California, New York, New Jersey, Washington, Wisconsin, Vermont, Minnesota, or Massachusetts, you will select form # 1 by clicking “Click Here” in the column to the right, unless you wish to use our secure online form. If so, then use form Option 1. 

NOTE: Select the Click Here button to the right to open the document.

***REQUIRED*** Fill in your organization name and SecurTest Client Code on page 1.  Go to Step 4. 

3. If your candidate is currently residing in California, New York, New Jersey, Washington, Wisconsin, Vermont, Minnesota, or Massachusetts, there is an additional Notice that will be included with the Disclosure and Authorization forms. Please review the States and Cities below and determine which authorization and notice packet you will need depending on the State or City your candidate is currently residing in.

4. Next you will have the candidate complete and sign each page where indicated. 

5. This must be completed with every background check order. You MUST give all applicable notices and authorizations to the candidate. 

6. Now you are ready to order the background screening online. You must upload ALL PAGES when ordering the background check online, including the FCRA Summary of Rights, and all State or City Notices that apply to the candidate's current residence.

(We must have the company or organization name and client code filled in on page 1, and signatures where indicated, such as pages 1, 2, and 3). The client code was emailed with your login information.

Use this step if you are having trouble printing a completed form. After you’ve filled out a PDF form in Preview, choose Print from the File menu and then use the dialog box’s PDF option to save it to a PDF.
Visit the Adobe website to download the latest version of Adobe Reader, if you don't already have it. Visit the website of the manufacturer of your printer and download an updated printer driver, if one is available. You can also go into the Print Dialogue (Ctrl+P) and beneath the Properties button, select "Documents and Markup" from the drop-down options ("Documents" was the default). 

 

OPTION 1 - CANDIDATE OR SUBJECT OF REPORT USES THE ONLINE AUTHORIZATION FORM
 

A. SecurTest Online Authorizaton and Notices. (Automates the correct notices and forms)

1. Send the candidate an email, such as the following example. You will need to fill in the bracketed fields [  ] including your company name, SecurTest Client Code, your email address, and the Unique Code.

 

The Unique Code is STI20190320

 

SAMPLE EMAIL

 

Dear Candidate,

 

The next step is for you to complete the SecurTest Background Check. You must begin this important step within 2 business days.  Write the following information down, as you will need it to get started.

 

 

You must enter the following information when filling out the Background Authorization Forms.

 

Follow these simple steps, as the faster you complete the forms from your computer, tablet or cell phone, your report can be completed in the time required.

 

SAVE THE INFORMATION

 

Company / Organization Name

[company name]

SecurTest Client Code (ex. WFxxxxxx)

[Code]

Company Email

[youremail]

Unique Code

STI20190320

 

 

This information is case sensitive and must be entered to begin. 

Please complete this step immediately.

 

2. Answers with * are required fields.

 

3. Click here to begin.

 

Thank you for completing your background check.

 

 

 

 

STEPS THE CANDIDATE TAKES

 

1.    Once your candidates complete the form, they and you will receive an email with the completed authorizations and notices.

2.     This vital step helps them have confidence that the FCRA, various state and local laws are being followed.

 

NEXT STEPS YOU TAKE

 

1.    You will receive an email with the completed Authorization forms and notices. Save the attachment or email as evidence of their authorization and consent. 

2.   Open the attachment using the password provided in the email.

3.   There will be a Reference Number in the email and on the attached PDF file.

4.   Login to SecurTest and select REQUEST to order the background report.

5.    Select the package and enter (copy and paste) the Reference Number and all the information about the candidate.

6.   YOU DO NOT NEED TO UPLOAD THE FORM, as our system stored it when the candidate completed it.

 

You MUST then order online the background check at SecurTest.com.

OPTION 2 - CLIENT DOWNLOADS AND/OR PRINTS AUTHORIZATION FORMS  
1. DOES NOT live in California, New York, New Jersey, Washington, Wisconsin, Vermont, Minnesota, or Massachusetts.
Can't View or Print - Scanned PDF version Click Here
Can't View or Print - Scanned Word version Click Here
2. CURRENTLY resides in California, BUT NOT in the cities of Los Angeles or San Francisco.
Click Here
3. CURRENTLY resides in the City of Los Angeles, California.
Click Here
4. CURRENTLY resides in the City of San Francisco, California.
Click Here
5. CURRENTLY resides in the state of New York, but not in New York City.
Click Here
6. CURRENTLY resides in New York City, New York, including Manhattan, Brooklyn, Queens, The Bronx, and Staten Island.
Click Here
7. CURRENTLY resides in New Jersey.
Click Here
8. CURRENTLY resides in Vermont.
Click Here:
9. CURRENTLY resides in Massachusetts.
Click Here
10. CURRENTLY resides in the state of Washington
Click Here
11. CURRENTLY resides in Wisconsin
Click Here
12. CURRENTLY resides in Minnesota
Click Here

 

 

USE THESE FORMS IF HAVING TROUBLE PRINTING

THE FORMS ABOVE (ADOBE VERSION 5)

 
1A. DOES NOT live in California, New York, New Jersey, Washington, Wisconsin, Vermont, Minnesota, or Massachusetts.
2A. CURRENTLY resides in California, BUT NOT in the cities of Los Angeles or San Francisco.
Click Here
3A. CURRENTLY resides in the City of Los Angeles, California.
Click Here
4A. CURRENTLY resides in the City of San Francisco, California.
Click Here
5A. CURRENTLY resides in the state of New York, but not in New York City.
Click Here
6A. CURRENTLY resides in New York City, New York, including Manhattan, Brooklyn, Queens, The Bronx, and Staten Island.
Click Here
7A. CURRENTLY resides in New Jersey.
Click Here
8A. CURRENTLY resides in Vermont.
Click Here
9A. CURRENTLY resides in Massachusetts.
Click Here
10A. CURRENTLY resides in the state of Washington
Click Here
11A. CURRENTLY resides in Wisconsin
Click Here
12A. CURRENTLY resides in Minnesota
Click Here

Helpful Link - Helps you determine if candidate resides in a particular City. (Enter Zip Code) - If the candidate puts a particular State or City on his or her application as the current residence, use the correct authorization and form listed above.

Click Here for the latest version of Adobe Reader.

 

STAND-A-LONE FORMS

Place your mouse over the "Form/Link" and RIGHT-CLICK then select Download Linked File. The file will be saved on your computer. Open the file. Allow Javascript to be used with the form.
on your computer.

 

 


New York City Notice

New York City "Second Chance" Law
New York City "Fair Chance Form" Employers must complete this form and provide it to the subject if adverse action is taken.
New York State Notice

New Jersey Summary of Rights
Massachusetts Notice
State of Washington Summary of Consumer Rights Notice
City of San Francisco Notice
City of Los Angeles Notice
California Notice Regarding Background Checks
Wisconsin Notice
Minnesota Notice
Vermont Notice

FCRA Summary of Rights

Additional Forms

MVR (Motor Vehicle Record) – Driving Record Authorization
Must be signed by the candidate and uploaded when ordering an MVR check.
Employment Verification Authorization
Must be signed by the candidate and uploaded when ordering Employment Verifications.
Education Verification Authorization
Must be signed by the candidate and uploaded when ordering an Education Verification.
Using Consumer Reports: What Employers Need to Know
What you must know about Consumer Reports and Consumer Reporting Agencies.
Credit Freeze Notice
Notice to be given to consumers inquiring about freezing their credit file.
Full Authorization Form with all notices
Same as #1 with the State and NYC notices,  education, employment, and MVR authorizations.
User Guide
How to order and view SecurTest Background Reports.
Credit Check Authorization
Must be signed by the candidate and uploaded when ordering a credit report. (SecurTest approval required.) /div>

Which states restrict reporting on convictions?


Under the FCRA, convictions can appear on a background report regardless of when they occurred. However,
some states have limited the scope of conviction reporting to seven years, including California, Kansas,
Maryland, Massachusetts, Montana, New Mexico, New York, New Hampshire, and Washington. However,
federal law, such as the FDIC for banking access, have restrictions that supersede state laws.

Which states restrict reporting on non-convictions?


Under the FCRA, non-convictions are reportable for seven years from the file date and can appear on a
background report for seven years. Some states entirely prevent non-convictions from being reported.
These states are California, Kentucky, New York, and New Mexico. Below is a non-exhaustive list of other
state-specific and industry-specific considerations.

• California:
◦ Marijuana Misdemeanors: Non-Felony (Misdemeanor) convictions for marijuana possession can only be reported for 2 years from the disposition date. Furthermore, end users (employers) are also prohibited
from seeking or considering this information when making employment decisions.
◦ Transportation Networks (TNC): Regulatory exception under AB1289 allows consumer reporting
agencies to report convictions beyond 7 years when preparing reports for TNCs. Under this regulatory
reporting exception, TNCs can see convictions for CA applicants regardless of when they occurred.

• Maryland: 
Transportation Networks (TNCs) are required to search the "entire adult history" of candidates for TNC roles.

• Kentucky: Pending criminal cases are never reportable.

• Salary exceptions: Some states provide salary exceptions, allowing convictions to remain reportable
for candidates who expect to make over $20,000 ($25,000 in New York).

Other location-specific laws should be considered
Keep in mind, however, that states and municipalities also have specific laws regarding how end
users and employers use and consider criminal records during an employment pre-screening process.  The
laws include individualized assessment of offenses, “Ban the Box,” salary bans, permissible purposes for employment credit checks, disclosure and authorization, and waiting periods for adverse action notices. Here are some cities that have additional legal mandates:

City of Los Angeles Notice
City of San Francisco Notice
New York City Notice
New York City "Second Chance" Law
New York City "Fair Chance Form"
Employers must complete this form and provide it to the subject if adverse action is taken.


DISCLAIMER: The links and forms herein will help you and your counsel comply with various federal and state regulations and understand common terms. The Resources Page is exclusively provided to our clients. The contents, forms, and sample documents should NOT be construed as legal advice, guidance or counsel. Users should consult their own attorney about their compliance responsibilities under the FCRA and applicable state and local laws. SecurTest, Inc. expressly disclaims any warranties or responsibility or damages associated with or arising out of information provided. Employers seeking credit reports must provide additional notices pursuant to state law. The various forms may require that you enter an authorized PASSWORD, which is case sensitive. Federal and various state laws require specific notices and disclosures be given to the candidate before a background check or consumer report is ordered. These resources are provided to you to serve as valuable navigational tools and resources to assist you. This information is intended for general educational and informational purposes only and is not legal advice, expressed or implied. If you need legal advice, consult with a qualified, licensed attorney.

NEW SETUP INSTRUCTION: Complete the "CLIENT CERTIFICATION" one time for the company (end-user). (See footnote 1 below.)

This form does not need to be completed each time you order a background check.

Click Here

Footnote 1: By completing the Client Certification, we agree that pursuant to the SecurTest Professional Services Agreement and various federal, state and local laws, we hereby certify to SecurTest, Inc. that we will provide to any candidate or subject the applicable notices before ordering a background report. Pursuant to your services agreement and federal, state and local laws, you are required to use and save the correct authorizations, notices, and forms. These notices, forms and authorization may be updated from time-to-time without notice by SecurTest.

Rev. 01.15.2020

 


Newsroom
Request Info
Name *
Title
Company *
E-Mail *
Phone *
# of current employees
# of employees hired per month
Services you are inquiring about:
Background Screening Solutions Background Check21 Panel Background Check Investigations Expert Witness Please call
  • Should be Empty:
  • >SecurTest, Inc. BBB Business ReviewGDPR-Rep.eu certificate of Art 27 representation

    ® Copyright - SecurTest, Inc. and iReviewNow LLC- 2020 - All Rights Reserved. iReviewNow United States Patents 7,979,908, 8,646,101 and 9,183,363. Florida Private Investigation License
    A-0001222 - | Terms of Service | Privacy Policy. SecurTest® is a registered trademark of SecurTest, Inc. SecurTest, Inc. is a member of the BBB. iReviewNow® is a registered trademark of
    iReviewNow., LLC. Make sure that the background screening company or consumer reporting agency (CRA) are Official Licensees that use and promote iReviewNow accuracy and fairness.

    Member, Professional Background Screening Association, formerly NAPBS
    Member, Society for Human Resource Management (SHRM)
    Member, ASIS International - Board Certified in Security Management (CPP)
    Member, Better Business Bureau Accredited Business A+ Rating
    Privancy Shield Framework
    Participant, Privacy Shield Framework
    BBB EU Privacy Shield
    GDPR-Rep.eu is the GDPR Art 27 representative of SecurTest, Inc
    revision: 03172020

    We use cookies to enhance your experience. By continuing to visit this site you agree to our use of cookies. See our privacy policy. Privacy Policy.