Mount Morris, NY · Livingston County
Authorization for Background Check
This form authorizes criminal history and employment reference checks for applicants seeking employment or an examination with Livingston County.
What this form is
Applicants use this authorization to let Livingston County request criminal history information and receive employment information from current and former employers. It limits the use of criminal history information to assessing suitability for the positions or examinations for which the applicant applied. The form asks for the applicant’s legal name, other names used, signature, and dates.
Who needs it
Applicants for employment or an examination with Livingston County who are asked to authorize criminal history and employment reference checks need this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
No notary is required; the document provides signature and date fields, and the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Background Check Authorization.
- 2
Complete The Form
Print your full legal name, list other names you have been known by, and sign and date the authorization.
- 3
Gather Attachments
The document does not list any required attachments.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Background Check Authorization?
- No. The document has signature and date fields but no notary block; the signer just signs and dates it.
- Who uses this authorization?
- Applicants for employment or an examination with Livingston County use it to authorize criminal history checks and the release of employment information.
- What information does the form authorize?
- It authorizes criminal history record checks and the release of employment information, including job titles, employment dates, wages, evaluations, and other requested employment details.
- How do I submit the authorization?
- The document does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.