Ma
rch 2018 SPD-PC010a
STATE OF GEORGIA PURCHASING CARD
AUTHORIZATION FOR PURCHASING CARD CREDIT CHECKS
ESSENTIAL DUTY
APPLICANT/CURRENT EMPLOYEE:
I _______________________________________ understand that Georgia law requires that a
credit check shall be completed by the hiring agency on all employees to whom a purchasing card
is issued prior to issue.” O.C.G.A. § 50-5-83. I also understand that, at the time of account renewal
(when a new purchasing card will be issued to replace an expiring card), the Statewide Purchasing
Card Policy requires a credit check for the current card holder.
I _______________________________________ understand that use of a purchasing card has
been identified as an essential duty for the following position for which I am applying/or am
currently employed: _____________________________. I understand that the results of the
credit check will be used to make employment decisions, including hiring, retention, promotion or
reassignment.
I _______________________________________ hereby voluntarily consent and specifically
authorize ________________________________________, or its authorized representative
bearing this release or copy thereof, to obtain a comprehensive review of my background through
a consumer report for the purpose noted above. I understand that the scope of the consumer
report/investigative consumer report will include, but is not limited to, the following areas: credit
history and reports, judgments and bankruptcy reports.
This authorization is given freely and voluntarily without duress or coercion and constitutes a
written instruction under the Fair Credit Reporting Act.
I understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be
taken based upon the consumer report, a copy of the report and a summary of the consumer's
rights will be provided to me.
March 2018 SPD-PC010a
I am authorizing that a photocopy of this authorization be accepted with the same authority as the
original.
________________________________ _______________________________________ _________________
Name Signature Date
________________________________ ____________________________________________________________
Address (Street) City, State, Zip
________________________________ __________________________________ ________________________
Social Security Number Date of Birth Telephone Number
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