Job Applicant Reference Checking Documentation Form

The attached template is designed to help you document a thorough background check on any applicant you may wish to hire. It's important to do a background check to make sure you get the right employee and to make sure that the applicant has been truthful about his or her background and skills. Documenting the checking that you do will help you defend yourself against any claims of negligent hiring by showing that you did the best job you could of making sure that the applicant was fit for employment.

Name:

Relationship to applicant:

Address:

Telephone:

Date contacted:

Method of contact:

Phone

E-mail

Fax

Letter

Other (describe)

Notes:

Name:

Employer:

Relationship:

Dates of employment:

Pay rate:

Address:

Telephone:

Date contacted:

Method of contact:

Phone

E-mail

Fax

Letter

Other (describe)

Would you rehire?

Reason for termination (voluntary/involuntary)?

Notes:

School records (date requested/received)

Driving records (date requested/received)

Criminal records (date requested/received)

Credit records (date requested/received)