- Complete the applicant information and address history for the past seven (7) years.
- Your driver’s license number MUST be entered as it is used to help verify your identity should we find another person with the same name
- Enter the issuing State for your driver’s license.
- If you need additional space for previous addresses, please attach another sheet and sign the additional sheet.
- Download this form (PDF) (Microsoft Word)
- Sample completed form
- Authorization to Obtain Pre-Employment Background Information FAQs