The Reference Request Consent Form is essential in modern U.S. employment practices where privacy laws and liability concerns have made employers increasingly cautious about providing references. This document provides legal protection for all parties involved by explicitly defining what information can be shared, with whom, and for how long. It ensures compliance with federal regulations including the FCRA and state-specific employment laws, while protecting against potential defamation claims. The form is typically used during job applications or when an employee is seeking new employment opportunities.
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1. Employee Information: Details of the employee providing consent, including full name, current/former position, and dates of employment
2. Scope of Consent: Detailed specification of what information is authorized for disclosure, including employment dates, job titles, job responsibilities, performance evaluations, and salary information
3. Duration: Specification of the time period for which the consent remains valid, including start date and expiration date if applicable
4. Authorization Statement: Explicit consent statement acknowledging understanding and agreement, including signature block, date, and witness provisions
1. Revocation Rights: Section detailing the process and conditions under which consent can be withdrawn, including notification requirements
2. Third Party Recipients: Specific identification of parties authorized to receive information, including potential employers or verification services
3. Limitation of Liability: Provisions releasing the former employer from liability for providing authorized information in good faith
1. Schedule A - Authorized Information Checklist: Detailed checklist of specific information categories that may be shared, including performance ratings, attendance records, and reason for departure
2. Schedule B - Authorized Recipients List: Comprehensive list of specific companies, organizations, or individuals authorized to receive reference information
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