Background Check Disclosure


DISCLOSURE REGARDING BACKGROUND INVESTIGATION

Health Rosetta Group PBC (“the Company”) may obtain information about you from a third party consumer reporting agency for employment, certification, or volunteer purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks.

You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you, and disclosure of the nature and scope of any investigative consumer report and to request a copy of your report. Please be advised that the nature and scope of the most common form of investigative consumer report is an employment history or verification. These searches will be conducted by the following organizations.

  1. Asurint, P.O. Box 14730, Cleveland, OH 44114, 800-906-1674, www.asurint.com
  2. The National Insurance Producer Registry,1100 Walnut Street, Suite 1500, Kansas City, Missouri 64106, www.nipr.com

The scope of this disclosure is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of your employment or volunteer placement to the extent permitted by law.

 

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Signature Certificate
Document name: Background Check Disclosure
lock iconUnique Document ID: eee6d24e7aca5c5f32cce1b1340b92ac81b965a0
Timestamp Audit
August 23, 2017 2:45 pm PSTBackground Check Disclosure Uploaded by Sean Schantzen - contact@healthfundr.com IP 68.2.123.249
August 23, 2017 3:06 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 3:10 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 3:38 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 3:39 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 3:40 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 3:42 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 4:03 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 4:19 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 4:20 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
August 23, 2017 4:21 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 72.214.133.227
September 21, 2017 3:17 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 98.189.61.213
September 21, 2017 3:17 pm PSTRobin Schantzen - robin@22counsel.com added by Sean Schantzen - sean@healthrosetta.org as a CC'd Recipient Ip: 98.189.61.213
July 16, 2018 1:24 pm PSTMelissa Taylor - melissa@healthrosetta.org added by Sean Schantzen - contact@healthfundr.com as a CC'd Recipient Ip: 12.37.157.26
July 16, 2018 1:24 pm PSTRobin Schantzen - robin@22counsel.com added by Sean Schantzen - contact@healthfundr.com as a CC'd Recipient Ip: 12.37.157.26