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Premier Dedication – Helping you develop compliant and consistent screening programs.

Whether you are hiring an employee or staffing a volunteer position, Premier believes in offering you the right tools to get the job done. Useful forms and documents including legal requirements, general forms and other process documents are provided for your use in the staffing and screening process.

All forms are in PDF format and may require Adobe Reader 7, click here to download

General Forms

Generic Employment Application

California Summary of Rights (FCRA)

Account Setup Form

Application Supplement

Summary of Rights (FCRA)

Standard Fax Order Form

Standard Release and Disclosure

Standard Volunteer Release and Disclosure

Adverse Action Process

NY Correction Law Article 23-A1

Release Requirements

Most products require a standard release and disclosure in order to process the screening request.

Some products have specific release forms while some states require special set up forms in order for us to obtain the information you are requesting.

Criminal Record Searches

State Specific Release Forms:
AR GA ID NH CN

States requiring a Standard Release and Disclosure:
IL KY MS RI

All Other States*:
Standard Release and Disclosure

* Although all states do not require a standard release and disclosure, Premier's best practice is to obtain a release.

States without a Statewide Repository (county level searches available only):
CA LA NV OH VT WV WY

Motor Vehicle Driving Records

State Required Release Forms
PA WA

All Other States*:
Standard Release and Disclosure

* Although all states do not require a standard release and disclosure, Premier's best practice is to obtain a release.

Workers' Compensation Claims History

States with Special Setup Forms:
CA

States with Specific Release or Standard Notarized Release Requirements:
AZ CO CT HI ID KS MN NJ MO PA UT VA District of Columbia

States Requiring Employer Certification:
NJ

States with Conditional Job Offer Requirements:
AZ CA CT ID UT

States Requiring a Standard Release and Disclosure:
AR IA IN KY MD MA MS MT ND NH NV OH SC SD VT WA WY

All Other States*:
Standard Release and Disclosure

* Although all states do not require a standard release and disclosure, Premier's best practice is to obtain a release.

Workers’ Compensation Reports are not reportable in the following states:
AL DE GA ME NY NC OR RI TX WV WI

Fees

Some states, counties, and institutions charge additional fees, which are passed directly to the customer without additional mark up. These fees are updated regularly and posted here.

	Statewide Criminal History Fees	Motor Vehicle Driving Record Fees
	County Criminal History Fees	Workers' Compensation Claims History Report Fees
	International Criminal History Fees

Contact Premier at (800) 350-7941 or on-line for additional information regarding fees or to learn more about how Premier can create a “fee inclusive” package to suit your needs.