¶¶Òõ¶ÌÊÓÆµ

Reference Request Consent Form for the United States

Reference Request Consent Form Template for United States

A Reference Request Consent Form is a legal document used in the United States that provides formal authorization for current or former employers to share employment-related information with prospective employers. This document ensures compliance with federal and state privacy laws, the Fair Credit Reporting Act, and employment regulations while protecting both the employer and employee in the reference-checking process.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Reference Request Consent Form

Let ¶¶Òõ¶ÌÊÓÆµ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

What is a Reference Request Consent Form?

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.

What sections should be included in a Reference Request Consent Form?

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

What sections are optional to include in a Reference Request Consent Form?

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

What schedules should be included in a Reference Request Consent Form?

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

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

Consent Letter

Cost

Free to use
Clauses












Industries

Fair Credit Reporting Act (FCRA): Federal law that regulates the collection, dissemination, and use of consumer information, including employment background checks and references

Privacy Act of 1974: Federal law governing the collection, maintenance, use, and dissemination of personal information maintained by federal agencies

Americans with Disabilities Act (ADA): Federal law protecting individuals with disabilities from discrimination, including in reference-giving contexts

Title VII of the Civil Rights Act of 1964: Federal law prohibiting employment discrimination based on race, color, religion, sex, and national origin, which must be considered in reference-giving processes

EEOC Guidelines: Federal guidelines ensuring equal employment opportunity and non-discrimination in employment practices, including reference checks

State Employment Laws: Varying state-specific regulations governing employment relationships and reference-giving practices

State Privacy Laws: State-specific regulations governing the protection and handling of personal information

Defamation Laws: Legal framework protecting against false statements (libel and slander) in reference-giving contexts, including qualified privilege considerations

Consent Requirements: Legal requirements for obtaining explicit consent, including specification of shared information, duration, and right to revoke

Liability Limitations: Legal provisions limiting liability for reference providers when acting in good faith and within consent parameters

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

Find the exact document you need

Parents Consent Letter For Nigerian Passport

A U.S.-executed parental consent letter authorizing the issuance of a Nigerian passport for a minor child, compliant with both U.S. and Nigerian legal requirements.

find out more

Letter To Consent

A formal document used in the U.S. legal framework to provide written authorization or permission for specific actions or purposes, complying with federal and state consent requirements.

find out more

Permission From Parents Letter

A U.S.-compliant formal authorization document from parents/guardians allowing their minor child to participate in specific activities or receive certain services.

find out more

Border Crossing Consent Letter

A U.S. legal document providing parental authorization for a minor's international travel, meeting CBP requirements.

find out more

Custody Travel Consent

A U.S. legal document granting permission for a minor to travel with one parent or designated adult, commonly used in custody situations.

find out more

Travel And Medical Consent For Minor

A U.S. legal document authorizing an adult to travel with and make medical decisions for a minor.

find out more

Permission Letter From Parents To Grandparents

A U.S. legal document granting specific childcare permissions from parents to grandparents.

find out more

Consent Letters And Proof Of Relationship

A U.S. legal document establishing both consent and proof of relationship between parties, requiring compliance with federal and state regulations.

find out more

Consent For Treatment Of A Minor Without Parent Letter

A U.S. legal document authorizing a designated caregiver to consent to medical treatment for a minor when parents are unavailable.

find out more

Medical Treatment Letter Of Authorization

A U.S. legal document authorizing healthcare providers to perform specific medical treatments in compliance with federal and state healthcare regulations.

find out more

Parent Giving Permission Letter

A U.S. legal document where parents authorize others to make decisions or take actions regarding their minor child.

find out more

Neighbour Consent Letter

A U.S. legal document obtaining written permission from neighboring property owners for construction or property modifications.

find out more

Letter Of Permission To Parents

A US-compliant formal document granting parental authorization for activities or care involving a minor.

find out more

Letter Of Consent To Alterations

A U.S. legal document granting permission from a property owner to make specific modifications to a property.

find out more

Consent Letter Signed By Both Parents

A U.S. legal document providing joint parental authorization for activities or decisions involving their minor child.

find out more

Consent Letter From Spouse

A U.S. legal document where one spouse formally consents to specific actions by the other spouse affecting joint marital interests.

find out more

Consent Letter For Tablet

A U.S. legal document establishing consent and terms for tablet device usage.

find out more

Authorization Letter For Parents

A U.S. legal document granting temporary authority to designated individuals to act on behalf of parents regarding their minor child.

find out more

Authorization Letter Parent

A U.S. legal document granting temporary authority to act on behalf of a parent regarding matters related to their minor child.

find out more

Authorization Letter For Daughter

A U.S. legal document granting specific permissions to designated parties to act on behalf of a minor daughter.

find out more

Authorization Letter Allowing To Conduct Employment Verification

A U.S.-compliant formal authorization document allowing specified parties to verify an individual's employment history and credentials.

find out more

Letter Of Consent For Electricity Connection

A U.S.-compliant formal authorization document allowing utility companies to provide electrical service to a property.

find out more

Consent Letter To Sell Property

A U.S. legal document providing formal authorization from property owner(s) to sell a specific property.

find out more

Consent Letter Of Parent Guardian

A U.S. legal document providing parental/guardian authorization for activities involving minors.

find out more

Consent Letter Of Majority Of Employees For Voluntary Coverage

A U.S.-compliant document demonstrating majority employee consent for voluntary coverage programs under federal and state regulations.

find out more

Parental Consent Legal Guardian Letter Consent

A U.S. legal document providing parental/guardian authorization for actions involving a minor child, subject to federal and state regulations.

find out more

Letter Of Consent For Interment

A U.S. legal document providing authorization for burial or interment of human remains from the legally authorized person.

find out more

Letter Of Consent Application Form

A U.S.-compliant form used to request and document formal consent for specific actions or information access.

find out more

Letter Of Consent From Husband To Wife To Travel

A U.S. legal document providing written authorization from a husband to his wife for travel purposes, typically used for immigration and border control requirements.

find out more

Consent Letter For Home Loan

A U.S. legal document providing formal consent from a borrower to proceed with a home loan under specified terms and conditions.

find out more

Authorization Letter To My Daughter

A U.S. legal document granting specific permissions from a parent/guardian to their daughter for designated purposes.

find out more

Letter Of Consent For Passport By Parent

A U.S. legal document providing parental authorization for a minor's passport issuance, compliant with federal regulations.

find out more

Direct Deposit Consent Form

A U.S. legal document authorizing electronic deposit of funds directly into a specified bank account, compliant with federal banking regulations.

find out more

Authorization Letter From Husband To Wife

A U.S. legal document granting specific powers from a husband to his wife to act on his behalf.

find out more

Letter Of Consent To Speak On My Behalf

A U.S. legal document authorizing someone to speak and act on behalf of another person in specified situations.

find out more

Holiday Permission Letter From Father

A U.S.-compliant legal document providing paternal authorization for a minor's travel arrangements.

find out more

Consent To Sale Of Property Letter

A U.S. legal document providing formal consent from interested parties for the sale of a specific property.

find out more

Consent Letter Of Property Owner

A U.S. legal document where property owners formally authorize specific activities or modifications to their property, subject to state-specific requirements.

find out more

Consent Letter For Utility Bill

A U.S.-compliant authorization document allowing the sharing or verification of utility bill information for legitimate purposes.

find out more

Consent Letter For Credit Check

A U.S. legal document providing authorization for credit report access, compliant with FCRA and state regulations.

find out more
See more related templates

³Ò±ð²Ô¾±±ð’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

We are ISO27001 certified, so your data is secure

Organizational security:

You retain IP ownership of your documents and their information

You have full control over your data and who gets to see it