In processing your application for employment, or if you are offered employment, at any time during your employment, State Bank of Bement may obtain a consumer credit report from a consumer reporting agency for employment purposes concerning credit worthiness, credit standing and credit capacity.
Upon receiving the copy of your credit report, if you want to dispute the accuracy or completeness of any item in it, you may contact the consumer reporting agency, whose address and telephone number are included in the report and request an investigation. (A summary of your rights under the Fair Credit Reporting Act can be viewed here. If you disagree with the accuracy of any information in the report, you must notify State Bank of Bement within two days of the receipt of the report that you are challenging information in the report. State Bank of Bement will not make a final decision on your employment status until you have had a reasonable opportunity to address the information contained in the report.
Note that if you are denied employment or an adverse employment action is taken based on information obtained in the credit report, you will be notified and provided with a copy of the report as well as a written description of your rights under the Fair Credit Reporting Act.
Please read this form carefully before signing and dating it below, which will authorize State Bank of Bement to obtain a consumer credit report on you as part of the pre-employment background screening process or, if you are offered employment, for employment purposes at any time during your employment.
I consent to this investigation and hereby authorize State Bank of Bement to obtain a consumer credit report on my background for employment purposes only and acknowledge that I have been provided with a summary of my rights under the Fair Credit Reporting Act.