In connection with my application for employment (including contract for services or volunteer services) or tenancy
with Paramount Ind. Cos. Inc., at 1112 Kingwood Ave Norfolk VA23502, consumer reports will be requested. These
consumer reports (investigative consumer reports in California) may include the following types of information: names
and dates of previous employers, salary, work experience, education, accidents, licensure, credit (except California), etc.
I further understand that such reports may contain public record information such as, but not limited to: my driving
record, workers’ compensation claims, judgments, bankruptcy proceedings, criminal records, etc., from federal, state
and other agencies which maintain such records.
In addition, investigative consumer reports as defined by the federal Fair Credit Reporting Act, gathered from personal
interviews with former employers and other past or current associates of mine to gather information regarding my work
performance, character, general reputation and personal characteristics, may be obtained.
I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY THE CONSUMER
REPORTING AGENCY TO FURNISH THE ABOVE-MENTIONED INFORMATION.
I have the right to make a request to the consumer reporting agency: Background Screeners of America, 18344
Oxnard Street, Suite 101, Tarzana, CA 91356; telephone (866) 570-4949) (“Agency”), upon proper identification, to
request the nature and substance of all information in its files on me at the time of my request, including the sources of
information and the agency, on our behalf, will provide a complete and accurate disclosure of the nature and scope of the
investigation covered by the investigative consumer report(s); and the recipients of any reports on me which the agency
has previously furnished within the two year period for employment requests, and one year for other purposes preceding
my request (California three years). I hereby consent to your obtaining the above information from the agency. You may
I hereby authorize procurement of consumer report(s) and investigative consumer report(s). If hired (or contracted), this
authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any
time during my employment (or contract) period.