DISCLOSURE CONCERNING BACKGROUND REPORTS
Tidy4Me, LLC. d/b/a Tidy4Me (the “Company”) will procure a consumer report (a background report) on you in connection with your request to provide cleaning services through the Tidy4Me platform and, if you are retained, at any time during the course of your independent contractor assignment with the Company for purposes related to your assignment, to the extent permitted by applicable law. The Company will procure the report from a consumer reporting agency (the “Agency”).
The report will contain information bearing on your character, general reputation, personal characteristics, and/or mode of living. The types of information that may be obtained include, but are not limited to, background references; employment history; criminal and civil court, and driving records. The information in the report will be obtained from private and public record sources.
AUTHORIZATION TO PROCURE BACKGROUND REPORTS
I have carefully read, and I understand, this Disclosure and Authorization form. By my signature below, I consent to the release to Tidy4Me, LLC. d/b/a Tidy4Me (“Company”) of consumer reports (“background reports”) prepared by a consumer reporting agency. I understand that if the Company retains me as an independent contractor on the Tidy4Me Platform, the Company may rely on this Authorization to obtain additional reports on me without asking for my consent again to the extent permitted by applicable law.
I also authorize all of the following to disclose to the Agency and its agents, as allowed by law, all information about or concerning me, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; drug and alcohol testing facilities; motor vehicle records agencies; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. The information that can be disclosed to the Agency and its agents, as allowed by law, includes, but is not limited to, information concerning my employment and earnings history, education, motor vehicle history, criminal history, military service, professional credentials and licenses.
BY CHECKING THE BOX ON THE PREVIOUS WEBPAGE, YOU (A) AUTHORIZE THE BACKGROUND REPORT AND THE COMPANY’S PROCUREMENT OF THE BACKGROUND REPORT AS DESCRIBED ABOVE, AND (B) AGREE TO USE AN ELECTRONIC SIGNATURE TO DEMONSTRATE YOUR AUTHORIZATION. AN ELECTRONIC SIGNATURE IS AS LEGALLY BINDING AS AN INK SIGNATURE.
ADDITIONAL STATE LAW NOTICES
If you live, or are requesting an independent contractor assignment in, any of the states listed below, please review the additional notice that applies to you.
If you check the box below, the consumer reporting agency will send you a free copy of the report at the same time that the report is made available to the Company.
I request a free copy of the report.
CITY OF SAN FRANCISCO: The notice required by the City of San Francisco’s Fair Chance Ordinance has been provided with this form.
NEW YORK: Upon request to the Company, the Company will inform you whether or not the Company requested a consumer report or an investigative consumer report. If a report was requested, the Company will provide the name and address of the consumer reporting agency furnishing the report. You may inspect and receive a copy of the report by contacting the agency. Article 23-A of the New York Correction Law has been provided with this form.
WASHINGTON STATE: You have the right to ask the Company to provide you with a summary of your rights under the Washington Fair Credit Reporting Act.
A Summary of Your Rights Under California
Civil Code Section 1786.22
Tidy4Me, LLC. d/b/a Tidy4Me (the “Company”) will procure a consumer report (a background report) on you in connection with your request for an independent contractor assignment for the Company and, if you are retained, at any time during the course of your independent contractor assignment with the Company for purposes related to your assignment, to the extent permitted by applicable law. The Company will procure the report from the following consumer reporting agency: Checkr, Inc., P. 2505 Mariposa Street, San Francisco, CA 94110; Telephone: 844-2-CHECKR, or from such other agency that the Company may retain in the future (“Agency”).
An investigative consumer reporting agency shall supply files and information required under Section 1786.10 during normal business hours and on reasonable notice.
Files maintained on a consumer shall be made available for the consumer’s visual inspection, as follows:
In person, if he appears in person and furnishes proper identification. A copy of his file shall also be available to the consumer for a fee not to exceed the actual costs of duplication services provided.
By certified mail, if he makes a written request, with proper identification, for copies to be sent to a specified addressee. Investigative consumer reporting agencies complying with requests for certified mailings under this section shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the investigative consumer reporting agencies.
A summary of all information contained in files on a consumer and required to be provided by Section 1786.10 shall be provided by telephone, if the consumer has made a written request, with proper identification for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or charged directly to the consumer.
The term “proper identification” as used in subdivision (b) shall mean that information generally deemed sufficient to identify a person. Such information includes documents such as a valid driver’s license, social security account number, military identification card, and credit cards. Only if the consumer is unable to reasonably identify himself with the information described above, may an investigative consumer reporting agency require additional information concerning the consumer’s employment and personal or family history in order to verify his identity.
The investigative consumer reporting agency shall provide trained personnel to explain to the consumer any information furnished him pursuant to Section 1786.10.
The investigative consumer reporting agency shall provide a written explanation of any coded information contained in files maintained on a consumer. This written explanation shall be distributed whenever a file is provided to a consumer for visual inspection as required under Section 1786.22.
The consumer shall be permitted to be accompanied by one other person of his choosing, who shall furnish reasonable identification. An investigative consumer reporting agency may require the consumer to furnish a written statement granting permission to the consumer reporting agency to discuss the consumer’s file in such person’s presence.
NEW YORK STATE CORRECTION LAW, ARTICLE 23-A
- 750. Definitions. For the purposes of this article, the following terms shall have the following meanings:
(1) “Public agency” means the state or any local subdivision thereof, or any state or local department, agency, board or commission.
(2) “Private employer” means any person, company, corporation, labor organization or association which employs ten or more persons.
(3) “Direct relationship” means that the nature of criminal conduct for which the person was convicted has a direct bearing on his fitness or ability to perform one or more of the duties or responsibilities necessarily related to the license, opportunity, or job in question.
(4) “License” means any certificate, license, permit or grant of permission required by the laws of this state, its political subdivisions or instrumentalities as a condition for the lawful practice of any occupation, employment, trade, vocation, business, or profession. Provided, however, that “license” shall not, for the purposes of this article, include any license or permit to own, possess, carry, or fire any explosive, pistol, handgun, rifle, shotgun, or other firearm.
(5) “Employment” means any occupation, vocation or employment, or any form of vocational or educational training. Provided, however, that “employment” shall not, for the purposes of this article, include membership in any law enforcement agency.
- 751. Applicability. The provisions of this article shall apply to any application by any person for a license or employment at any public or private employer, who has previously been convicted of one or more criminal offenses in this state or in any other jurisdiction, and to any license or employment held by any person whose conviction of one or more criminal offenses in this state or in any other jurisdiction preceded such employment or granting of a license, except where a mandatory forfeiture, disability or bar to employment is imposed by law, and has not been removed by an executive pardon, certificate of relief from disabilities or certificate of good conduct. Nothing in this article shall be construed to affect any right an employer may have with respect to an intentional misrepresentation in connection with an application for employment made by a prospective employee or previously made by a current employee.
§ 752. Unfair discrimination against persons previously convicted of one or more criminal offenses prohibited. No application for any license or employment, and no employment or license held by an individual, to which the provisions of this article are applicable, shall be denied or acted upon adversely by reason of the individual’s having been previously convicted of one or more criminal offenses, or by reason of a finding of lack of “good moral character” when such finding is based upon the fact that the individual has previously been convicted of one or more criminal offenses, unless:
(1) there is a direct relationship between one or more of the previous criminal offenses and the specific license or employment sought or held by the individual; or
(2) the issuance or continuation of the license or the granting or continuation of the employment would involve an unreasonable risk to property or to the safety or welfare of specific individuals or the general public.
- 753. Factors to be considered concerning a previous criminal conviction; presumption.
- In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall consider the following factors:
(a) The public policy of this state, as expressed in this act, to encourage the licensure and employment of persons previously convicted of one or more criminal offenses.
(b) The specific duties and responsibilities necessarily related to the license or employment sought or held by the person.
(c) The bearing, if any, the criminal offense or offenses for which the person was previously convicted will have on his fitness or ability to perform one or more such duties or responsibilities.
(d) The time which has elapsed since the occurrence of the criminal offense or offenses.
(e) The age of the person at the time of occurrence of the criminal offense or offenses.
(f) The seriousness of the offense or offenses.
(g) Any information produced by the person, or produced on his behalf, in regard to his rehabilitation and good conduct.
(h) The legitimate interest of the public agency or private employer in protecting property, and the safety and welfare of specific individuals or the general public.
- In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall also give consideration to a certificate of relief from disabilities or a certificate of good conduct issued to the applicant, which certificate shall create a presumption of rehabilitation in regard to the offense or offenses specified therein.
- 754. Written statement upon denial of license or employment. At the request of any person previously convicted of one or more criminal offenses who has been denied a license or employment, a public agency or private employer shall provide, within thirty days of a request, a written statement setting forth the reasons for such denial.
- 755. Enforcement.
- In relation to actions by public agencies, the provisions of this article shall be enforceable by a proceeding brought pursuant to article seventy-eight of the civil practice law and rules.
2. In relation to actions by private employers, the provisions of this article shall be enforceable by the division of human rights pursuant to the powers and procedures set forth in article fifteen of the executive law, and, concurrently, by the New York city commission on human rights.