Attach 7 Credit Report Release for Employment.docx

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SBA OII Examinations and Related Services
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73351022R0019
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Credit Report Release for Employment

U.S. Small Business Administration

PLEASE BE ADVISED THAT ONE OR MORE CONSUMER CREDIT REPORTS MAY BE OBTAINED FOR EMPLOYMENT PURPOSES PURSUANT TO THE FAIR CREDIT REPORTING ACT, AS AMENDED, 15 U.S.C., §1681, ET SEQ.

Information provided by you on this form will be furnished to the consumer reporting agency, in order to obtain information to determine your (1) suitability for Federal employment, (2) clearance to perform contractual service for the Federal Government, and/or (3) security clearance or access. The information obtained may be provided to other Federal agencies for the above purposes and in fulfillment of official responsibilities to the extent that such disclosure is permitted by law.

I hereby authorize the U.S. Small Business Administration, to obtain such report(s) from any consumer/credit reporting agency for employment purposes. I understand that if I am denied employment, either in whole or in part, based on this credit report, SBA will give me a copy of the report and information about my rights under the Fair Credit Reporting Act.

Print employee's name Social Security number Street address and apartment number, if applicable

City, state, zip code Signature Date Your Social Security Number is needed to keep records accurate because other people may have the same name. Executive Order 9397 also asks Federal agencies to use this number to help identify individuals in agency records.

SBA Form 2044 (5-99)

File details come from the government source that posted it. Updated .