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Applicant Declaration Form for the United States

Applicant Declaration Form Template for United States

An Applicant Declaration Form is a legally binding document used in the United States that requires applicants to formally declare the truthfulness of information provided in their application. It includes personal information, employment history, and various attestations required by federal and state laws. The form serves as a legal record and protection for both the applicant and the organization.

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Applicant Declaration Form

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What is a Applicant Declaration Form?

The Applicant Declaration Form is a crucial document in the U.S. hiring and application process, designed to ensure compliance with federal and state employment laws. This document requires applicants to formally attest to the accuracy of their submitted information, acknowledge understanding of employment terms, and provide consent for background checks where applicable. It serves as a protective measure for organizations while ensuring transparent communication with applicants. The form typically includes sections for personal information, employment history, educational background, and various legal attestations required by U.S. employment law.

What sections should be included in a Applicant Declaration Form?

1. Personal Information: Basic identifying information including name, contact details, and address

2. Declaration Statement: Formal statement affirming the truth of all information provided and compliance with applicable laws

3. Authorization: Consent for verification of information and background checks if applicable

4. Legal Compliance Statements: Statements acknowledging understanding of EEO, ADA, IRCA, and other applicable laws

5. Signature Block: Space for signature, date, and printed name confirming all declarations

What sections are optional to include in a Applicant Declaration Form?

1. Employment History: Section for previous employment details when form is used for job applications

2. Educational Background: Section for academic qualifications and certifications when relevant to position

3. Criminal History Declaration: Section for disclosure of criminal record where permitted by state law

4. Industry-Specific Declarations: Additional declarations required for specific industries (healthcare, financial services, etc.)

What schedules should be included in a Applicant Declaration Form?

1. Schedule A - Required Documentation Checklist: List of supporting documents to be submitted with declaration

2. Schedule B - State-Specific Declarations: Additional declarations required by specific states

3. Schedule C - Privacy Notice: Information about how personal data will be used and protected

4. Schedule D - Terms and Conditions: Detailed terms and conditions governing the declaration and its use

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

United States

Document Type

Declaration Form

Cost

Free to use
Clauses

























Industries

Equal Employment Opportunity Laws: Federal laws ensuring equal opportunity in employment decisions, prohibiting discrimination based on race, color, religion, sex, national origin

Americans with Disabilities Act (ADA): Federal law protecting qualified individuals with disabilities from discrimination in employment processes and requiring reasonable accommodations

Fair Labor Standards Act (FLSA): Federal law establishing standards for wage, overtime pay, recordkeeping, and youth employment

Immigration Reform and Control Act (IRCA): Federal law requiring employers to verify the identity and employment eligibility of their employees

Title VII of the Civil Rights Act: Federal law prohibiting employment discrimination based on race, color, religion, sex, and national origin

Age Discrimination in Employment Act (ADEA): Federal law protecting individuals 40 years or older from employment discrimination

Fair Credit Reporting Act: Federal law regulating the collection and use of consumer credit information, including background checks for employment

State Privacy Laws: Various state-specific laws governing the collection, storage, and use of personal information in employment applications

Ban the Box Laws: State-specific legislation regulating when and how employers can inquire about applicants' criminal history

I-9 Requirements: Federal documentation requirements for verifying identity and employment authorization of individuals hired for employment

E-Verify Requirements: Federal web-based system for confirming employment eligibility, mandatory for certain employers

Truth in Application Provisions: Legal requirements regarding truthful statements in job applications and consequences of false statements

Industry-Specific Regulations: Specialized requirements for particular sectors such as healthcare (HIPAA) and financial services

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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