Free Background Check Affidavit

I, [Your Name], in my capacity as [Your Title] at [Your Company Name], located at [Your Company Address], do hereby affirm the accuracy of the information provided by [Applicant's Name], hereinafter referred to as the "Applicant," in this Background Check Affidavit.

Applicant's Personal Information:

• Full Name: [Applicant's Name]

• Date of Birth: [Applicant's Birthdate]

• Social Security Number: [Applicant's SSN]

• Current Address: [Applicant's Address]

• Contact Number: [Applicant's Number]

• Email Address: [Applicant's Email]

Employment History:

• Company Name: [Employer 1]

• Address: [Employer Address]

• Position Held: [Your Position]

• Dates of Employment: [Start Date] to [End Date]

• Reason for Leaving: [Reason]

• Company Name: [Employer 2]

• Address: [Employer Address]

• Position Held: [Your Position]

• Dates of Employment: [Start Date] to [End Date]

• Reason for Leaving: [Reason]

Educational Background:

• School/College Name: [Institution Name]

• Address: [Institution Address]

• Degree Obtained: [Degree]

• Major/Field of Study: [Major/Field]

• Dates of Attendance: [Start Date] to [End Date]

Criminal History [if applicable]:

[List any criminal convictions.]

Driving Record [if applicable]:

[List any traffic violations, suspensions, or revocations of driver's license.]

References:

Professional Reference 1:

• Name: [Reference Name]

• Position: [Reference Position]

• Company/Organization: [Reference Company/Organization]

• Contact Information: [Reference Email]

Professional Reference 2:

• Name: [Reference Name]

• Position: [Reference Position]

• Company/Organization: [Reference Company/Organization]

• Contact Information: [Reference Email]

I hereby certify that the information provided by the Applicant in this Background Check Affidavit is true and accurate to the best of my knowledge. I understand that any false statements or omissions may result in disqualification from employment.

[Date]

Sworn to and subscribed before me this [Date] day of [Month], [Year].

[Your Company Seal]

Affidavit Templates @ Template.net