Authorization for Background Investigation

<p>I hereby authorize <strong>Automate America, Inc.</strong> and its designated agents to obtain a consumer report and/or investigative consumer report about me from a consumer reporting agency.</p><p>I understand that this report may contain information about my:</p><ul><li>Criminal history</li><li>Driving records</li><li>Employment history</li><li>Education history</li><li>Credit history (if relevant to position)</li><li>Professional references</li></ul>

<p>By signing below, I acknowledge that:</p><p>1. I have received and read the "Disclosure Regarding Background Investigation"</p><p>2. I understand that a consumer report may be obtained about me</p><p>3. I authorize the release of this information</p><p>4. I understand my rights under the FCRA</p><p>5. A copy of this authorization is as valid as the original</p>

<p>I certify that all information provided in connection with this background check is true and complete to the best of my knowledge.</p><p>I understand that falsification or omission of information may result in:</p><ul><li>Denial of engagement</li><li>Termination of existing engagement</li></ul>

<p>I release <strong>Automate America, Inc.</strong>, its agents, and the consumer reporting agency from any liability arising from:</p><ul><li>The investigation itself</li><li>The disclosure of the results to authorized parties</li><li>Any decision made based on the consumer report</li></ul><p>This release is subject to applicable federal and state laws.</p>

<p>This authorization:</p><ul><li>Is valid for the duration of my engagement with Automate America, Inc.</li><li>Allows for periodic re-investigations as required by client contracts</li><li>May be revoked by me in writing at any time, though revocation does not affect actions already taken</li></ul><p>If I am assigned to a new client that requires a background check, I understand a new investigation may be conducted under this authorization.</p>

<p>By clicking "I Authorize" or providing my electronic signature below, I:</p><ul><li>Authorize the background investigation</li><li>Acknowledge receipt of the FCRA disclosure</li><li>Certify the information I provided is accurate</li><li>Understand this authorization is valid for the duration of my engagement</li></ul><p><strong>This electronic authorization has the same legal effect as a handwritten signature pursuant to the Electronic Signatures in Global and National Commerce Act (ESIGN Act), 15 U.S.C. § 7001 et seq.</strong></p>