Credit Check Authorization Template
This Credit Check Authorization allows [Your Business Name] to obtain a credit report as part of the application or review process. This form complies with the applicable state laws, including [State Name] regulations regarding consumer credit information.
Please complete the information requested below:
- Applicant's Full Name: ____________________________________________
- Address: _______________________________________________
- City: _______________________________________________
- State: _______________________________________________
- Zip Code: ________________
- Email Address: _______________________________________________
- Phone Number: _______________________________________________
- Date of Birth: _______________________________________________
- Social Security Number (last four digits): _____________
I hereby authorize [Your Business Name] to obtain a credit report on my behalf. I understand that this report may include information regarding my credit history, payment history, and any outstanding debts.
This authorization is valid for the duration of my application, as well as for any periodic reviews that may occur with my consent. I understand that I may revoke this authorization at any time, provided I notify [Your Business Name] in writing.
By signing below, I acknowledge that I have read and understand this Credit Check Authorization.
Applicant's Signature: ____________________________________________
Date: ___________________