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FORMS & DOCUMENTS

Forms to Download

Employment Screening Forms

Download any of the following forms to sign up for an account, order services, set-up billing information and more.

Sample documents should NOT be construed as legal advice. Employers should consult their own attorney about their compliance responsibilities under the FCRA and applicable state law. ADB expressly disclaims any warranties or responsibility arising out of information provided in these forms.

Document Name Acrobat
1. California Credit Report Release Form
Credit reports for California require a separate Release Form.
Download PDF Version
2. Disclosure & Authorization Form
FCRA sample form. ALL Applicants must sign this form before processing a background check.
Download PDF Version
3. Disclosure & Authorization Form with Drivers License Information
FCRA sample form. ALL Applicants must sign this form before processing a background check.
Download PDF Version
4. New York Article 23-A
To be provided to NY applicants / employees.
Download PDF Version
5. New York City Fair Chance Assesment Form
Notice to Applicant detailing resons for not hiring.
Download PDF Version
6. Pre-Adverse Action Notification (Employment)
FCRA sample form.
Download PDF Version
7. Adverse Action Notification (Employment)
FCRA sample form.
Download PDF Version
8. Adverse Action Notification (Non-Employment)
FCRA sample form.
Download PDF Version
9. EVS Terms and Conditions
Equifax required form. Employment Verification Services (EVS) Terms and Conditions must be signed by all users of Equifax services.
Download PDF Version

International Criminal Screening Forms

Download any of the following forms to have Criminal Searches performed in the listed countries below.

Document Name Acrobat
1. International General Release Form Download PDF Version
2. Australian National Police Check Application Form Download PDF Version
3. Bermuda Criminal Release Form Download PDF Version
4. China Screening Form for PRC Citizens Download PDF Version
5. Denmark Criminal Release Form Download PDF Version
6. France Criminal Release Form Download PDF Version
7. New Zealand Criminal Release Form Download PDF Version
8. Phillippines Criminal Release Form Download PDF Version
9. Quatar Criminal Release Form Download PDF Version
10. Scotland Criminal Release Form Download PDF Version
11. Swedish Criminal Release Form Download PDF Version
12. United Kingdom Criminal Release Form Download PDF Version
  • SSN Trace

    Social Security Number Trace

    American DataBank searches multiple sources to develop a comprehensive residence history. The search will validate the SSN and identify state and year of issue. Report provides a residency history, duration of residency and possible alias names, as well as dates of birth used in the past.

      Use It To:
    • Target the scope of the criminal search, improving overall results.
    • Obtain alias names/DOB to use when conducting criminal record checks.
    • Check applicant work history against addresses to identify gaps.

    Recommended: For all applicants

    Necessary Information: Applicant's name, SSN, and DOB

    Turnaround Time: Instant

  • SSN Validation

    Social Security Number Validation

    There are large penalties associated with employing illegal workers. Validating the SSN pre-hire reduces the likelihood of hiring an individual not legally authorized to work in the U.S. The search is conducted directly through the Social Security Administration (SSA) to confirm that the name, SSN and DOB provided by the applicant matches SSA records.

    Use It To: Verify the Social Security Number and confirm the number belongs to your applicant.

    Recommended: For all applicants

    Necessary Information: Applicant's name, SSN, and DOB

    Turnaround Time: Instant to 48 hours

  • County Criminal

    County Criminal Record Search

    We vet and monitor a professional network of court researchers who conduct on-premise searches for felony and misdemeanor records at the courthouse. The same search may be conducted electronically, depending on the jurisdiction. County criminal record searches are typically conducted in the jurisdiction(s) where an applicant has lived. This search provides the most accurate, up-to-date criminal records information, as most cases are prosecuted at the county level.

    Use It To: Identify a county criminal record that would preclude an applicant from a position, either because of job-relatedness or regulatory requirement.

    Recommended: For all applicants

    Necessary Information: Applicant's name, SSN, and DOB; additional identifiers may be used in some instances.

    Turnaround Time: Instant to 48 hours

  • Statewide Criminal

    Statewide Criminal Record Search

    Statewide Criminal searches improve screening ROI and cost-effectiveness by expanding the criminal check scope. Statewide Criminal searches are conducted through either a State Criminal Records Repository or a statewide source for criminal records. Only available in states where access is legal and records are current and complete. Please contact us for further details on each state’s coverage.

      Use It To:
    • Broaden search scope to include all counties within a state.
    • Identify a criminal past that would preclude an applicant from a position, either because of job-relatedness or regulatory requirement.

    Recommended: In states where a statewide search of sufficient quality is available.

    Necessary Information: Applicant’s name, SSN and DOB. Additional identifiers may be used in some instances.

    Turnaround Time: Instant to 48 hours

  • Federal Criminal

    Federal Criminal Record Search

    Federal criminal law differs from the state criminal law, and offenses are generally more serious: terrorism, embezzlement, drug trafficking, kidnapping, bank robbery, crimes committed across state lines, crimes against the federal government, etc. A Federal Criminal search expands the criminal background check to include federal crimes. Federal District court cases are searched on a state by state basis.

      Use It To:
    • Broaden search scope to include all Federal criminal records.
    • Identify a criminal past that would preclude an applicant from a position, either because of job-relatedness or regulatory requirement.

    Recommended: If your applicant is being considered for an executive position, or if your company requires a more comprehensive background screening.

    Necessary Information: Applicant’s name and DOB.

    Turnaround Time: Same business day, unless a name match requires additional research.

  • Nationwide Criminal

    Nationwide Criminal Index Search

    "A mile wide but in inch deep", the Nationwide Criminal Index offers a broad scope of limited depth. This search expands the criminal background check beyond the jurisdictions where an applicant has lived. Data sources include Department of Corrections (DOC), Parole Boards, and state or county criminal record repositories.

      Use It To:
    • Supplement the background check
    • Demonstrate additional due diligence

    Recommended: For organizations wishing to supplement the criminal background check. May be used for all applicants or when screening for select job categories or positions.

    Necessary Information: Applicant’s name and DOB.

    Turnaround Time: Instant when no record is found. Please note if a record is found additional county criminal searches are conducted ensuring the information provided is complete and up to date.

    Click for a list of sources.

  • Nationwide Sex Offender

    Nationwide Sex Offender Registry

    Protect people, reduce risk and mitigate liability by searching the Nationwide Sex Offender Registry to identify if applicant is a registered sex offender in any state.

    Use It To: Identify applicants who are registered sex offenders and may pose a safety or security threat.

    Recommended: For all applicants working with the public, minors, at risk populations and/or within the healthcare industry

    Necessary Information: Applicant's name and DOB

    Turnaround Time: Same Business Day

  • Wants & Warrants Check

    Wants and Warrants Checks

    Search is conducted through the FBI National Crime Information Center (NCIC), which includes a compilation of police records, for all outstanding extraditable warrants on a nationwide level, providing protection against the hiring of an individual with an active warrant, shielding you from negligent hiring claims.

    Use It To: Identify individuals with active warrants with major offenses such as murder, armed robbery or sexual assault.

    Recommended: For all applicants.

    Necessary Information: Applicant's name, DOB and SSN

    Turnaround Time: Typically within 6-48 Hours

  • FBI Fingerprinting
  • Canada Criminal Search

    Canada Criminal Record Searches

    Expand the criminal background check to include all Canadian Provinces. Nationwide search of the Canadian Police Information Center (CPIC) which includes records for offenses comparable to U.S. felonies and misdemeanors.

    Use It To: Identify applicants with a criminal history in Canada.

    Recommended: If your applicant has lived in Canada or is a Canadian citizen.

    Necessary Information: Applicant’s name, DOB, CPIC consent form and a photo ID

    Turnaround Time: 24 to 48 Hours

    Additional Searches: Canadian Credit Checks, Canadian Employment Verification and Canadian Education Verification

  • International Criminal

    International Criminal Record Searches

    Expand the criminal background check scope by including international jurisdictions where an applicant has lived. Criminal background check is conducted according to country-specific availability and requirements. Reports provide records equivalent to U.S. misdemeanors and felonies. Contact us to obtain specific availability, details and search requirements by country.

      Use It To:
    • To screen international applicants in a manner similar to domestic applicants.
    • To meet requirements imposed by some governmental agencies.

    Recommended: For International applicants. Please note if the applicant has work authorization or visa in the United States.

    Necessary Information: Applicant’s name, DOB, city and country of residence. Additional requirements vary by country (ex: Mother's maiden name or both parents last name).

    Turnaround Time: 5 to 14 Days

    Additional Searches: International Employment Verification and Education Verification

  • Education Verification

    Education Verification

    Education details are the most frequently falsified qualifications on a resume. We will confirmation of any degree or certification from GED to Post-Doctoral, providing dates of attendance, graduation date and degree earned. Educational data may be outsourced to third party information repositories. Applicable third party fees will be passed to our client at cost.

    Use It To: To verify educational credentials or degree claimed by an applicant.

    Recommended: positions with minimum education requirements.

    Necessary Information: Applicant’s name at time of attendance, DOB, institution attended and degree achieved. Signed disclosure and release form may be required.

    Turnaround Time: 1 to 3 business days; dependent on school responsiveness

    Verifications are conducted in-house by our own representatives to ensure quality and security of our services. Our staff will conduct additional research to obtain updated contact information if the information provided with the request is inaccurate.

    American DataBank makes daily attempts to contact verification sources, documenting all communication. If a verification request is still pending after three business days (72 hours), a representative will contact your personnel to notify them of the delay and determine if there is any further information to be utilized. No verification request is closed until we receive results or approval from your personnel.

  • Employment Verification

    Employment Verification

    Employment Verifications can identify fraud, employment gaps and even incarceration; as such, they can provide even more value than a criminal background check. Report will include: dates of employment, job title, dependability, overall performance, salary, reason for separation and rehire eligibility. Previous employers may have different policies regarding the information they will release during verification of employment. Third party fees may apply if a previous employer has outsourced the verification process to a third party.

      Use It To:
    • Confirm the applicant has not represented him/herself fraudulently.
    • Assess the applicant’s work ethic and skills.

    Recommended: For positions with previous experience, specific level of past position or trades as a prerequisite to employment.

    Necessary Information: Applicant’s name, DOB, and employment information such as company name, dates worked and position.

    Turnaround Time: 1 to 3 business days; dependent on past employer responsiveness

    Verifications are conducted in-house by our own representatives to ensure quality and security of our services. Our staff will conduct additional research to obtain updated contact information if the information provided with the request is inaccurate.

    American DataBank makes daily attempts to contact verification sources, documenting all communication. If a verification request is still pending after three business days (72 hours), a representative will contact your personnel to notify them of the delay and determine if there is any further information to be utilized. No verification request is closed until we receive results or approval from your personnel.

  • Professional License Verification

    Professional License Verification

    Protect your organization from negligent hiring liability associated with hiring an individual who is not licensed or who has a disciplinary history on file by verifying credentials. Our In-House representatives will verify the status of the applicant’s license and document any violations, revocations, or disciplinary actions taken.

    Use It To: Ensure that an applicant is qualified and licensed for a certain position.

    Recommended: For positions that require a license, whether medical, nursing, legal, educational, accounting or otherwise.

    Necessary Information: Applicant’s name, type of license, license number and state of licensure

    Turnaround Time: 6 to 48 Hours

  • DOT Employment History

    DOT Employment History

    Verification of employment history is required for compliance with Department of Transportation (DOT) and modal-specific regulatory requirements. Our In-House representatives will contact previous employers to obtain the applicants: dates of employment, position, safety performance history, and drug/alcohol history.

      Use It To:
    • Ensure compliance with regulatory requirements
    • Identify applicants with an unsafe performance, tendency towards accidents or violations or a history of drug/alcohol abuse

    Recommended: For employers and/or positions regulated by the DOT.

    Necessary Information: Applicant’s name and signed DOT verification form

    Turnaround Time: Approximately 24-48 hours although previous employers legally have 30 days to respond to request.

  • Personal/Professional References

    Personal or Professional References

    Reference interviews provide a detailed picture of the applicant's work ethic, interpersonal skills and general character. Our In-house representatives will contact the applicant’s reference(s) to conduct 5-10 minute phone interviews based on client specifications. Clients may use our template or design custom interview questions.

      Use It To:
    • Obtain details on an applicant’s work ethic, interpersonal skills and character.
    • Reduce labor-intensive reference calls while obtaining the same valuable information.

    Recommended: To gain insight regarding your applicant’s character.

    Necessary Information: Applicant’s name, reference’s name and contact information

    Turnaround Time: 1 to 3 business days; dependent on reference’s responsiveness

  • Motor Vehicle

    Motor Vehicle Report (MVR)

    Reviewing an applicant’s driving record will protect against negligent hiring/retention liability associated with hiring an individual who is not licensed or who has an unsafe driving history. Records are obtained directly from each state’s Department of Motor Vehicles (DMV) and cover at least three years of driving history. Report contains driving history, license status and class, and any violations. Available for Operator or Commercial Drivers Licenses.

    Use It To: Obtain and review the applicant’s driving history.

    Recommended: For positions that require an employee to drive either a company-owned or personal vehicle for company business.

    Necessary Information: Applicant’s name, license number and state of licensure. Some states require a special authorization form.

    Turnaround Time: Instant to 72 hours with a few exceptions. Please contact us for further details on turnaround and other details by State.

  • Employment Credit Report

    Employment Credit Report

    Reviewing the credit history of applicants for positions with financial or accounting responsibility can help prevent theft or fraud. Credit reports are obtained from the major credit reporting bureaus: TransUnion, Equifax and Experian. The report indicates the applicant’s current and previous debts, payment history, bankruptcy records and current financial status. Note: Your company name will show up on the applicant’s credit inquiry lists. However, this Employment Credit Check will not affect the applicant’s credit score. Employment Credit Reports do not include credit scores.

    Use It To: Obtain a sense of the applicant’s degree of fiscal responsibility

    Recommended: We do not recommend this search for all applicants. If a position requires cash handling, accounting or any degree of financial responsibility, review of an applicant’s credit history may be job applicable. Please note some states have imposed stringent rules for credit report usage for employment.

    Necessary Information: Applicant’s name, SSN, physical address and a signed release. Your organization must have the applicant’s signed release form readily available to provide to the Credit Bureau for auditing purposes.

    Turnaround Time: Instant

  • Worker's Compensation

    Worker's Compensation

    Search of the State’s workers compensation claims records. Each state has different forms and conditions for using Worker Compensation Reports. Please call us for further clarification. This search can only be performed once the applicant has been offered employment with your organization. Employers are cautioned that the use of worker’s compensation claims may be grounds for discrimination and may violate the Americans with Disabilities Act (ADA).

      Use It To:
    • Determine if your applicant has filed excessive claims.
    • Information can be used to make reasonable accommodations under the ADA.

    Recommended: Not recommended as a factor for hiring decisions.

    Necessary Information: Applicant's name, DOB, SSN and in some cases, a signed and/or notarized authorization form. Some States require a copy of the job offer letter.

    Turnaround Time: 2 Days to 3 Weeks

  • Healthcare Exclusion

    Healthcare Exclusion Monitor

    Similar to the search commonly known as “FACIS”, Healthcare Exclusion Monitoring enables healthcare clients to access the following lists through a single search:

    • OIG (Office of Inspector General)
    • GSA (General Services Administration)
    • OFAC (Office of Foreign Assets Control)
    • FDA (Food and Drug Administration) Debarment List

    Use It To: To meet compliance requirements imposed on most healthcare or federally-funded employers through a single search.

    Recommended: For applicants working in a healthcare or related environment. May be required for institutions receiving Federal, State, Joint Commission, or other grant.

    Necessary Information: Applicant’s name, DOB and SSN.

    Turnaround Time: Same Business Day

  • OIG Sanction Report

    Office of Inspector General (OIG) Sanction Report

    OIG prohibits federal programs to cover an excluded individual’s salary, expenses or fringe benefits regardless of whether they provide direct patient care. Description: Employers who hiring an excluded individual - knowingly or not - risk losing federal funding. Search the OIG Sanction Report to determine if an applicant is a sanctioned individual who is not permitted to work in healthcare settings

    Use It To: Identify violators of Medicare and Medicaid, including Welfare fraud; perpetrators of patient abuse; healthcare fraud; controlled substance convictions; default on a student loan for study in a healthcare field and more.

    Recommended: For applicants working in a healthcare or related environment. May be required for institutions receiving Federal, State, Joint Commission, or other grant.

    Necessary Information: Applicant’s name, DOB and SSN.

    Turnaround Time: Same Business Day

  • GSA Excluded parties

    General Services Administration (GSA) Excluded Parties List

    Employers who hire an individual who has violated the federal grant/incentive program risk loss of federal funding. Search of the GSA Excluded Parties List, which includes data from the Social Security Administration, Federal Trade Commission and other sources, to identify if an applicant is on the Excluded Parties List.

    Use It To: Determine whether an individual is excluded from federal programming, funding and contracts.

    Recommended: For applicants working in a healthcare or related environment. May be required for institutions receiving Federal, State, Joint Commission, or other grant.

    Necessary Information: Applicant’s name, DOB and SSN.

    Turnaround Time: Same Business Day

  • OFAC List

    OFAC List

    Obtain protection against hiring a known terrorist and subsequent negligent hiring liability by searching the OFAC lists. This search is conducted through the U.S. Dept. of the Treasury to identify if an applicant is listed on terrorist watch lists from around the world.

      Use It To:
    • Determine if an applicant is suspected of terrorist activities or association with terrorist organizations.
    • Ensure compliance with all applicable rules and regulations.

    Recommended: For organizations wishing to conduct additional due diligence. Some governmental agencies require this search.

    Necessary Information: Applicant’s name

    Turnaround Time: Same Business Day

  • FDA Debarment List

    Food & Drug Administration (FDA) Debarment List

    Employers who hire an individual who has been disciplined or sanctioned by the FDA are exposed to negligent hiring/negligent retention liability. This search confirms that an applicant has never been disciplined or sanctioned by the FDA for the inappropriate use, manufacturing, or distribution of goods such as food, medication, or cosmetics.

    Use It To: Comply with medical industry and healthcare programs that require applicants to undergo FDA clearance.

    Recommended: If your company qualifies and requires FDA clearance

    Necessary Information: Applicant’s name

    Turnaround Time: Same Business Day

  • Drug Screening
  • Personality Testing
 
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