Ala. Admin. Code 265, ch. 265-X-2, app D
Pursuant to § 49-9-594, Code of Alabama 1975, the Alabama Criminal Justice Information Center (ACJIC) may supply employee criminal records and may provide the procedure for obtaining the records. The purpose of this waiver is to provide my employer/prospective employer with sufficient identifying information about myself to allow my employer/prospective employer to obtain my criminal record by querying the ACJIC Alabama Background Check (ABC) system.
By signing this waiver I, ______________________________, certify that all of the personal identifying information provided herein is accurate. I understand that by providing this information and signing this document I agree to allow my employer/prospective employer to receive a copy of my ABC report through ACJIC.
I understand that ABC reports may contain reported felony and misdemeanor arrests, violations, and court records included in records maintained by the State of Alabama. I further understand that ABC reports contain personal information from motor vehicle records included in records maintained by the State of Alabama. Personal information is information that identifies the individuals on whom the ABC report is conducted, including photograph, social security number, drive identification number, name, address, telephone number, and medical or disability information. Juvenile, youthful offender, sealed and/or expunged records will not appear on any ABC report.
I further understand that any information supplied on an ABC report is derived from a name-based search using only the identifiers submitted by my employer/prospective employer or this employer's authorized Third Party User based on the information provided by me on this form. ACJIC in no way guarantees that criminal history record information provided through this system is for the person named in the request. Fingerprint based searches are the most reliable way to conduct criminal record checks and the least likely to result in either a false positive or false negative search result. This is not a fingerprint based search.
I understand that this waiver must be sent to ACJIC electronically in a form prescribed by ACJIC.
I understand that the results of my ABC report may be verified by submitting fingerprints to the Alabama Department of Public Safety.
Asterisks denote required information.
Ala. Admin. Code 265, ch. 265-X-2, app D
Author: Becki R. Goggins
Statutory Authority:Code of Ala. 1975, § 41-9-594.