Consent form

Authority to release information under the Data Protection Act 1998 CHECKING FACTS
BUILDING TRUST
I authorise Verifile and your representatives to:
 carry out checks on my employment history, education, professional qualifications and membership of
professional organisations;
 take up character/professional references;
 confirm the information I have provided including information provided to the organisation which has
requested these background checks and to Verifile; and
 carry out any other background checks that are necessary, including a credit check.

I give all previous employers, educational institutions, professional institutions, credit agencies, government organisations and
others permission to give you and the organisation which has requested these background checks (or people acting for them),
information about my background (including information about my driving records, credit records, criminal records and other
public records) to you and to the organisation which has requested these background checks or people acting for them, in the
European Union and, if appropriate, other countries regulated by data protection directives.

I also authorise you and your representatives to give personal information about me to other organisations if this is necessary
for you to carry out the checks.

I agree to my personal information being transferred outside of the European Economic Area if this is necessary to complete
checks. I also authorise organisations in any country to give my personal information to the organisations referred to above,
and the organisation that has requested these background checks, as long as this is in line with relevant laws.

If I have previously lived in the UK, I give you, Verifile, and your representatives the following permission with respect to my
criminal record check in the UK:
 obtain information on criminal convictions I may have which are unspent according to the Rehabilitation
of Offenders Act 1974;
 use my personal information, including anything that is sensitive;
 contact me direct to get any information you need to carry out basic-disclosure checks on me and to
check my information before passing it to the organisation that has requested these background checks;
 give my information to other organisations, such as local and central government departments, the
police, courts and tribunals and legal advisors; and
 receive a basic-disclosure certificate on my behalf and pass it to the organisation which has requested
these background checks (or people acting for them).
I also give the organisation which has requested these background checks permission to:
 keep the basic-disclosure certificate for up to three months; and
 securely dispose of the basic-disclosure certificate after this period, without making any copies.

By signing below I confirm that I have read and understand your privacy policy (shown on the website at
www.verifile.co.uk/privacy) about handling personal information. I understand that in some circumstances you may continue
to carry out searches if instructed to do so by the organisation which has requested these background checks and I agree to
this.

Your name: ___________________________________________________________________________

(in BLOCK CAPITALS using black ink)

Your signature: ________________________________________________________________________

Your date of birth: / / Date: / /

VERIFILE LIMITED
PO Box 1365 Bedford MK44 5AD United Kingdom
Fax: +44 (0)208 610 4880 Email: service@verifile.co.uk Web: www.verifile.co.uk
Verifile Limited is registered in England and Wales with number 5129976 Copyright © Verifile 2010-15. All Rights Reserved