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AG 2016 06 20
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AG 2016 06 20
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Last modified
6/22/2016 12:17:16 PM
Creation date
11/27/2017 10:33:31 AM
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Template:
Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
6/20/2016
Board
Board of Commissioners
Meeting Type
Regular
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Continuation of <br />Disclosure & Authorization for Release of Personal Information <br />(Personnel Records Are Maintained In Accordance With NCG5 153A -98) <br />I, , do hereby authorize a review of and full disclosure of all records <br />concerning myself to any duly authorized representative of Cabamus County, whether the said records are of a public, <br />private, or confidential nature. <br />The intent of this authorization is to give my consent for full and complete disclosure of all records, to include commercial <br />or retail credit agencies (including the records of loans and credit repo rtslratings); educational institutions; courts; <br />governments; and other financial statements andlor employment records wherever filed. This includes employment and <br />pre - employment records, background reports, efficiency ratings, complaints or grievances filed by or against me and the <br />records and recollections of attorneys at law, or of other counsel, whether representing me or another person in any case, <br />either odmInal or civil, 1n which I presently have c have had an interest. <br />I understand that any information obtained which is developed directly or Indirectly, in whole or In part, upon this release <br />authorization, will be considered in determining my suitability for employment and continued employment with Cabarrus <br />County. <br />A photocopy or facsimile transmission of this release form will be valid as an original thereof, even though the said <br />photocopy or facsimile transmission may not contain an original signature. <br />Full Signature: <br />Date: <br />HR revised //812413 <br />04/25/16 PDFConvert. 1073 1. 1. Section 1- Driver Employee_ Selection - Copy Attachment 9 umber 1 \n <br />F -9 Page 191 <br />
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