Last updated: May 26, 2023
Disclosure Regarding Background Investigation
Bluecrew (the “Company”) may obtain information about you from a third party consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report,” as defined in California, which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may contain information regarding your criminal history, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks.
You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you, and disclosure of the nature and scope of any investigative consumer report. Upon written request to the Company or consumer reporting agency, to request a copy of your investigation consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report is an employment history or verification. These searches will be conducted by Checkr, Inc., One Montgomery Street, Suite 2000, San Francisco, CA 94104, 844-824-3257, https://checkr.com/applicant. The scope of this disclosure is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of your employment to the extent permitted by law.
Acknowledgment and Authorization for Background Check
I acknowledge receipt of the separate documents entitled Disclosure Regarding Background Investigation and A Summary of Your Rights Under the Fair Credit Reporting Act and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by the Company at any time after receipt of this authorization and throughout my employment, if applicable and to the extent permitted by law. For the purpose of preparing a background check for Company, I hereby authorize any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, past or present employers, motor vehicle records agencies, or insurance company to furnish any and all background information requested by Checkr, Inc., One Montgomery Street, Suite 2000, San Francisco, CA 94104, 844-824-3257, https://checkr.com/applicant, as allowed by law, including information concerning my employment and earnings history, education, credit history, motor vehicle history, criminal history, military service, and professional credentials and licenses. I agree that an electronic copy of this Authorization shall be as valid as the original.
California applicants only
San Francisco applicants only
L.A. applicants only
Minnesota applicants only: You have the right to submit a written request to the consumer reporting agency for a complete and accurate disclosure of the nature and scope of any consumer report the Company ordered about you. The consumer reporting agency must provide you with this disclosure within five business days after its receipt of your request or the report was requested by the Company, whichever date is later.
New York applicants only: Upon request, you will be informed whether or not a consumer report was requested by the Company, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. You have the right to inspect and receive a copy of any investigative consumer report requested by the Company by contacting the consumer reporting agency identified above directly. By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law.
New York City applicants only: By signing the Acknowledgment and Authorization for Background Check, you further authorize the Company to provide you with a copy of your consumer report, the New York City Fair Chance Notice form, and any other documents to the extent required by law, at the mailing address and/or email address you provide to the Company.
Washington State applicants only: You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.
Motor Vehicle Record Disclosure and Authorization: I understand that Bluecrew ("the Company") requires a copy of my official driving record from the State of Washington and that information contained in the abstracts shall be used in accordance with the requirements of my engagement and in no way violate the provisions of RCW 46.52.130. Bluecrew's background report provider (Checkr, Inc.) is acting as Bluecrew's agent to obtain that record. By checking the box below, I hereby authorize the release of my official driving record to Bluecrew and its agents, and agree this authorization is valid during any engagement. No information contained therein will be divulged, sold, assigned, or otherwise transferred to any third person or party. The abstracts of driver records shall be used exclusively for consideration by Bluecrew as it relates to my engagement.
I understand that information contained in the abstract related to an adjudication that is subject to a court order sealing the juvenile record may not be used by Bluecrew, or an agent authorized to obtain this information on their behalf unless required by federal regulation or law. Bluecrew must afford an opportunity to demonstrate that an adjudication contained in the abstract is subject to a court order sealing the juvenile record.
