The above named applicant has authorized VIP HomeCare, Inc. the right to make a thorough investigation of past employment, performance, driving records, and verification of insurance, legal agency reports, and criminal records or any other report or information deemed appropriate by the Agency to determine appropriateness for hiring.
By signing below, the employee agrees to:

1. Release and discharge VIP HomeCare, Inc. from any and all liability that may arise relative to any background and/or employment reference checks.

2. Release and discharge prior employers and their employees from any liability relative to factual information provided.

It is the policy of the agency that all applicants undergo certain screening prior to employment. All employment is contingent upon the results of these tests. Any results that do not meet the policies of VIP HomeCare will result in immediate termination of employment.

All information obtained will be kept confidential.

I have read the above information and authorize VIP HomeCare, Inc. to obtain the above mentioned information.