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1. Personal Information: Subject's full name, ID number, current contact details, and other relevant identifying information
2. Employment History Details: Information about the position(s) held, employment dates, and company details that may be disclosed
3. Authorization Statement: Clear statement of consent authorizing former employer(s) to provide reference information
4. Scope of Information Release: Specific details about what information may be disclosed (e.g., job performance, attendance, reason for leaving)
5. Designated Recipients: Details of the person(s) or organization(s) authorized to receive the reference information
6. Duration of Authorization: Validity period of the authorization
7. Release of Liability: Statement releasing former employers from liability for providing reference information in good faith
8. Signature Block: Space for date, signature, and witness signatures if required
1. Specific Exclusions: Section listing any specific information that should NOT be disclosed in the reference check
2. Additional Referee Details: Space for listing multiple referees or specific departments/individuals who may be contacted
3. Revocation Rights: Statement explaining the right to revoke the authorization and process for doing so
4. POPIA Acknowledgment: Specific section acknowledging understanding of rights under POPIA, recommended when form will be used for international reference checks
1. List of Former Employers: Detailed list of former employers with contact information when authorization covers multiple employers
2. Information Disclosure Checklist: Itemized list of specific information types that may be disclosed, with checkboxes for selective authorization
Financial Services
Technology
Healthcare
Education
Manufacturing
Retail
Professional Services
Government
Non-Profit
Construction
Mining
Telecommunications
Legal Services
Hospitality
Transportation
Agriculture
Energy
Human Resources
Legal
Compliance
Talent Acquisition
Personnel Administration
Employee Relations
Corporate Services
Risk Management
Human Resources Manager
Recruitment Specialist
Hiring Manager
Legal Counsel
Compliance Officer
HR Director
Talent Acquisition Manager
HR Administrator
Employment Relations Manager
HR Business Partner
Recruitment Coordinator
Personnel Officer
HR Operations Manager
Chief Human Resources Officer
HR Generalist
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ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
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We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
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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