Authorization
Apex Health Solutions LLC
Date: —
Applicant Name: Jordan Alvarez
Position Applied For: Certified Home Health Aide (CHHA)
I, the undersigned applicant, hereby authorize Apex Health Solutions LLC (“the Agency”) and its designated representatives to obtain a consumer report and/or investigative consumer report about me for employment purposes.
I understand that:
- This authorization is voluntary, and I am not required to sign it. However, if I do not sign this authorization, it may affect my application for employment.
- The Company may obtain a consumer report about me at any time during my employment, including pre-employment and periodically thereafter, if I am hired.
- I have the right to request a copy of any consumer report obtained about me.
- I have the right to dispute the accuracy of information contained in any consumer report.
Ticking this box is what authorizes the check. The document above says this is voluntary: if you do not wish to authorize it, do not submit this form — speak to Apex Health Solutions instead.
