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Release Authorization for Background Check

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CONSENT FOR RELEASE OF BACKGROUND INFORMATION

I, understand that in conjunction with my application for residency, the AIDS Healthcare Foundation, the Healthy Housing Foundation, and/or their property managers, will use the services of an outside agency to research regarding any and all criminal convictions as listed in the following: Drug trafficking convictions. Unlawful possession of a firearm or weapon. Convicted and or registered sex offenders. Crimes against persons (rape, sexual assault, robbery, armed robbery, assault, aggravated assault, manslaughter and murder, etc.). Malicious destruction of property (arson, felony destruction of property. etc.).

This agency will provide a written report of its findings to AIDS Healthcare Foundation, the Healthy Housing Foundation, and/or their property managers. AIDS Healthcare Foundation and the Healthy Housing foundation uses SARMA/MAF Background Screening, a consumer reporting agency, as an agent to perform its employment and residential applicant related background investigations.

SARMA/MAF Background Screening will utilize various sources of information it deems appropriate including but not limited to criminal conviction records, current and former employers, department of motor vehicle records, military records, credit reporting agencies, education records, professional and personal references in compliance with the Americans with Disabilities Act. I agree, authorize and consent to the release and disclosure of any and all information including but not limited to the above to AIDS Healthcare Foundation, Healthy Housing Foundation, their property managers, and SARMA/MAF Background Screening.

I acknowledge that a telephonic facsimile (FAX) or photographic copy shall be as valid as the original. This release is valid for most federal, state and county agencies, including the Minnesota Department of Labor.

I agree, authorize and consent to the procurement of a Consumer Report and/or an Investigative Consumer Report and understand that it may contain information about my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. This authorization in original or copy form shall be valid for my term of residency from the date indicated next to my signature. According to the Fair Credit Reporting Act, AIDS Healthcare Foundation, or the Healthy Housing Foundation will notify me, if residency is denied because of information obtained from a Consumer Reporting Agency. Additionally, I understand that if requested within 60 days, I will be given a full and accurate disclosure as to the nature and substance of all information provided to AIDS Healthcare Foundation and / or the Healthy Housing Foundation. I further understand that I may request a copy of the report, and that when doing so, proper identification will be required and I should direct my request to: SARMA/MAF Background Screening, 555 East Ramsey Rd., San Antonio TX 78216, 1 (800) 955-5238. I understand that residents of all states will automatically receive a copy of the report if an adverse action is taken regarding the residency application, or upon request as outlined herein.

LAW ENFORCEMENT AGENCIES AND OTHER ENTITIES FOR POSITIVE IDENTIFICATION PURPOSES REQUIRE THE FOLLOWING INFORMATION WHEN CHECKING PUBLIC RECORDS. IT IS CONFIDENTIAL AND WILL NOT BE USED FOR ANY OTHER PURPOSES. PLEASE PRINT CLEARLY.

Applicant represents that statements made are true, correct and hereby authorizes verification of references to include but not limited to credit checks, unlawful detainer checks & credit checks and agrees to furnish additional credit references on request. I authorize verification of the information contained herein solely for the purpose of establishing my qualifications as a tenant. I release anyone verifying such information or providing information, from liability. I understand that incomplete or incorrect information provided in the application, may cause a delay in processing and can result in denial of tenancy.

I understand that even if I am granted a residence based on my initial credit check, that a fuller credit check will still be conducted up to 30 days after my initial application. I understand that if this fuller credit check reveals falsified information in my application that this is grounds for eviction and I may be denied further housing with the Healthy Housing Foundation.

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June 7, 2019 8:58 am PDT

Release Authorization for Background Check Uploaded by HHF Application - [email protected] IP 76.168.134.47