Disclosure Regarding Background Investigation
The Cobb-Marietta Coliseum & Exhibit Hall Authority (“the Company”) may obtain information about you from a third party consumer reporting
agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include
information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with
sources such as your neighbors, friends, or associates. These reports may contain information regarding your credit history, criminal history, social
security verification, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks.
Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are
You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you, and
disclosure of the nature and scope of any investigative consumer report and to request a copy of your report. Please be advised that the nature and
scope of the most common form of investigative consumer report is an employment history or verification. These searches will be conducted by The
Orsus Group, 3155 West Big Beaver, Suite 216, Troy, MI 48084, 877-575-1476, www.theorsusgroup.com. The scope of this disclosure is allencompassing,
however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of
your employment to the extent permitted by law.
I acknowledge that I have received and understand the disclosure regarding background investigation.
Acknowledgment and Authorization for Background Check
I acknowledge receipt of the DISCLOSURE REGARDING BACKGROUND INVESTIGATION provided by Cobb-Marietta Coliseum & Exhibit Hall
Authority (“the Company”) and certify that I have read and understand this section. I acknowledge receipt of a copy of the SUMMARY OF YOUR
RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand this document. I hereby authorize the obtaining
of “consumer reports” and/or “investigative consumer reports” by the Company at any time after receipt of this authorization and throughout my
employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency,
institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background
information requested by The Orsus Group, 3155 West Big Beaver, Suite 216, Troy, MI 48084, 877-575-1476, www.theorsusgroup.com, and/or the
Company itself. I agree that a facsimile (“fax”), electronic or photographic copy of this Authorization shall be as valid as the original.
New York applicants only: Upon request, you will be informed whether or not a consumer report was requested by the Company, and if such
report was requested, informed of the name and address of the consumer reporting agency that furnished the report. You have the right to inspect
and receive a copy of any investigative consumer report requested by the Company by contacting the consumer reporting agency identified above
directly. By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law
Washington State applicants only: You also have the right to request from the consumer reporting agency a written summary of your rights and
remedies under the Washington Fair Credit Reporting Act.
Minnesota and Oklahoma applicants only: Please check this box if you would like to receive a copy of a consumer report if one is obtained by the
California applicants only: Under California Civil Code section 1786.22, you are entitled to find out what is in the CRA’s file on you with proper
identification, as follows:
In person, by visual inspection of your file during normal business hours and on reasonable notice. You also may request a copy of the information in person. The CRA may
not charge you more than the actual copying costs for providing you with a copy of your file.
A summary of all information contained in the CRA file on you that is required to be provided by the California Civil Code will be provided to you via telephone, if you have
made a written request, with proper identification, for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or charged directly to you.
By requesting a copy be sent to a specified addressee by certified mail. CRAs complying with requests for certified mailings shall not be liable for disclosures to third parties
caused by mishandling of mail after such mailings leave the CRAs.
“Proper Identification” includes documents such as a valid driver’s license, social security account number, military identification card, and credit cards. Only if you cannot identify yourself
with such information may the CRA require additional information concerning your employment and personal or family history in order to verify your identity. The CRA will provide trained
personnel to explain any information furnished to you and will provide a written explanation of any coded information contained in files maintained on you. This written explanation will be
provided whenever a file is provided to you for visual inspection. You may be accompanied by one other person of your choosing, who must furnish reasonable identification. A CRA
may require you to furnish a written statement granting permission to the CRA to discuss your file in such person’s presence.
Please check this box if you would like to receive a copy of an investigative consumer report or consumer credit report at no charge if one is
obtained by the Company whenever you have a right to receive such a copy under California law. □