Careers > Background Check Background Check Authorization Having trouble? Call us at 972-438-3222. First Name*Middle Name*Last Name*SuffixDate of Birth* Date Format: MM slash DD slash YYYY Phone Number*Social Security Number*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CID #Type of BackgroundDrivers License NumberMVRName of PVO/Driver* First Last Only if being hired by an Imlach Professional Van Operator (PVO)Consent* I agree to the content below.AUTHORIZATION FOR INVESTIGATIVE CONSUMER REPORT(S) AND/OR CONSUMER REPORT(S) PURSUANT TO FAIR CREDIT REPORTING ACT I authorize Imlach & Collins Brothers, a Texas corporation (the “Company”), or its third-party designee, to investigate all statements contained on the employment application completed by me, to investigate the references listed on said employment application, and to conduct, order and acquire any background information before, during or after my employment with the Company, including consumer report(s) (a written, oral, or other communication by a “consumer reporting agency”) or otherwise bearing on my creditworthiness, character, general reputation, personal characteristics, or mode of living used for the purposes of making employment decisions, or investigating employment incidents, including interviews or investigative consumer report(s) obtained through personal interviews with friends, neighbors, associates, etc., regarding me which the Company deems to be appropriate including, but not limited to, credit histories, criminal records, motor vehicle reports or driving records, investigative consumer reports, reference checks, workers’ compensation history reports, educational records and all employment records, including any and all disciplinary reports, letters of reprimand or other disciplinary action contained in my record with any employer or former employer (the “Background Information”). I understand and agree that the Background Information is of material importance to the Company and that if I have given any false information, whether it be on said employment application, or otherwise, or I have omitted any material facts under any circumstances, I may be disqualified from employment with the Company, or if hired, I may be discharged immediately upon discovery of such false statements or omissions, regardless of how much time has passed between the date of my hire and the discovery of such misrepresentations, in the sole and absolute discretion of the Company. I understand and agree that the Company may have a third party prepare a background report for the Company. This authorization shall remain on file and shall serve as an ongoing authorization for procurement of consumer reports.