Pre-employment Screening Request

Pre-Employment Screening Request Form

Please fill in the following form as completely as possible in order to initiate a pre-employment screening. Alternatively, you may download our EmploymentScreenRequest.pdf form, fill it in and fax it back to 705·722·5829.

RELEASE FORM: Authorization for Background & Reference Check
DISCLOSURE CONSENT: Consent to Disclosure of Personal Information

Client Information:
Client Name: (company)
Client Address:
No. & Street:
Suite:
City:
Province:
Postal Code:
Contact Person:
Contact Email:
Contact Telephone:
Contact Fax:

Candidate's Information:
Candidate's Name:
Candidate's AKA:
Candidate's Address:
No. & Street:
Suite:
City:
Province:
Postal Code:
Candidate's Telephone:
Driver's License:
S.I.N.#:
D.O.B.: (MM/DD/YYYY)

Services Requested: (please check the services you require)
Number of References:
Choose One:	- Only References Provided by the Applicant
	- Investigative Style of Reference Checking

Choose One:	- Executive Format
	- Express Format

Choose Services:	Education Check Credit Check Driver Abstract Asset Search Criminal Check

Additional Comments or Requests:
Comments/Requests:
Please provide the appropriate consent release forms for the investigative style of reference checks, criminal checks, credit checks, driving record checks and education verification via fax: 705·722·5829 RELEASE FORM: Authorization for Background & Reference Check DISCLOSURE CONSENT: Consent to Disclosure of Personal Information
If you prefer to print and fax-back a form, you may download it here: EmploymentScreenRequest.pdf This printable form requires Adobe Acrobat Reader to open. You may download Acrobat Reader here.

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The Renwick Group Inc.
Corporate Office: 93 Dunlop Street East, Suite 301, Barrie, ON, Canada, L4M 1A8
Tel: (705)722-9807 Fax: (705)722-5829 Email: info@renwickgrp.com

The Renwick Group Inc. is a fully licensed, bonded and
insured private investigation service corporation.

Updated Mar 2004

Pre-Employment Screening Request Form

RELEASE FORM: Authorization for Background & Reference Check
DISCLOSURE CONSENT: Consent to Disclosure of Personal Information

Please provide the appropriate consent release forms for the investigative style of reference checks,
criminal checks, credit checks, driving record checks and education verification via fax: 705·722·5829

RELEASE FORM: Authorization for Background & Reference Check
DISCLOSURE CONSENT: Consent to Disclosure of Personal Information

The Renwick Group Inc. is a fully licensed, bonded and
insured private investigation service corporation.

Pre-Employment Screening Request Form

RELEASE FORM: Authorization for Background & Reference Check DISCLOSURE CONSENT: Consent to Disclosure of Personal Information

Please provide the appropriate consent release forms for the investigative style of reference checks, criminal checks, credit checks, driving record checks and education verification via fax: 705·722·5829

RELEASE FORM: Authorization for Background & Reference Check DISCLOSURE CONSENT: Consent to Disclosure of Personal Information

The Renwick Group Inc. is a fully licensed, bonded and insured private investigation service corporation.

RELEASE FORM: Authorization for Background & Reference Check
DISCLOSURE CONSENT: Consent to Disclosure of Personal Information

Please provide the appropriate consent release forms for the investigative style of reference checks,
criminal checks, credit checks, driving record checks and education verification via fax: 705·722·5829

RELEASE FORM: Authorization for Background & Reference Check
DISCLOSURE CONSENT: Consent to Disclosure of Personal Information

The Renwick Group Inc. is a fully licensed, bonded and
insured private investigation service corporation.