Forms

I have read and understand the “FCRA Requirements” and “Access Security Requirements” notice and will take all reasonable measures to enforce them within my facility. I certify that I will use the Experian/Trans Union credit report for no other purpose than what is stated in the Permissible Purpose section on this application. I will not sell the report to any 3rd Party directly or indirectly. . All replications of this Application shall be deemed an original. I certify that I have read the above statements and all information provided is accurate and hereby authorize the bank reference to release information to Alpha Background Investigations, LLC I authorize Alpha Background Investigations, LLC to charge my Credit Card for services rendered if they are not paid within 30 days or other agreed terms and conditions.

TERMS AND CONDITIONS TALX EMPLOYMENT INFORMATION 1. Any information services and data originating from TALX will be requested only for subscriber’s exclusive use and held in strict confidence except to the extent that disclosure to others is required or permitted by law. Only designated representatives of subscribers will request TALX Employment Information on Subscriber’s employees, and employees will be forbidden to obtain TALX Employment Information on themselves associates or any other persons except in the exercise of their official duties. Subsriber will not disclose TALX Employment information except as permitted or required by law, but will refer the subject to TALX. 2. Subscriber will hold TALX and all its agents harmless on account of any expense or damage arising or resulting from the publishing or other disclosure of TALX Employment Information by subscriber its employees or agents contrary to the conditions of Section 1 above or applicable by law. 3. Subscriber recognizes that TALX does not guaranteed the accuracy or completeness of TALX Employment Information and Subsriber releases TALX and Tax’s agents, employees, affiliates, credit reporting agencies and Independent contractors from an liability including negligence in connection with the provision of TALX Employment Information and from an loss or expense suffered by Subscriber resulting directly or Indirectly from TALX Employment information. Subscriber covenants not to sue or maintain any claim, cause of action, demand, cross-action counterclaim, third-party action or other form of pleading against TALX, TALX’s agents, employees, affiliated credit reporting agencies, or Independent contractors arising out of or relating in any way to the accuracy, valididity, or completeness of any TALX Employment Information. 4. Subscriber will be charged for the TALX Employment Information by CRA which is responsible for paying TALX for the TALX Employment Information; provided, however, should the underlying relationship between Subscriber and FRA Terminate at any time during the term of this agreement charges for the TALX Employment Information will e Invoices to Subscriber and Subscriber will be solely responsible to pay TALX directly. 5. FAIR CREDIT REPORTING ACT CERTIFICATION: A COPY OF THE FAIR CREDIT REPORTING ACT IS ON THE WEBSITE FOR ALPHA BACKGROUND INVESTIGATIONS. End User hereby acknowledges the above compliance in regards to TALX EQUIFAX COMPLIANCE

I agree that all of the information provided is true and that I am authorized by the organization to provide and agree to the conditions provided.