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Reference Check Authorization Form
Free reference check authorization form template — a job applicant authorizes an employer to contact their listed references.
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This free reference check authorization form covers Authorization, References, Release, Understanding with 8 clearly marked [placeholder] fields to fill in — built for small business owners and first-time managers handling an HR moment professionally without a dedicated HR department to lean on. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.
Reference Check Authorization Form
Applicant: [Name] · Position Applied For: [Title] · Date: [Date]
Authorization
I authorize [Company Name] to contact the references I have listed below, as well as [any previous employers listed on my application], to verify my employment history and inquire about my job performance and qualifications for the position above.
References
| Name | Relationship | Company | Phone/Email |
|---|---|---|---|
| [Name] | [Relationship] | [Company] | [Contact] |
| [Name] | [Relationship] | [Company] | [Contact] |
Release
I release [Company Name] and the individuals/organizations contacted from any liability related to providing or receiving truthful, good-faith information about my background and qualifications.
Understanding
I understand that providing false information on my application, or refusing to provide this authorization, may affect my candidacy for this position.
Applicant signature: ______________________ Date: ____________
*Confirming references with the applicant's actual authorization on file (not just calling numbers they provided) protects the hiring company if a former employer is hesitant to speak candidly — this signed release is often what convinces a cautious reference-giver's own legal counsel that sharing honest feedback is safe.*
Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.
What's included
- Edit online — click the document, fill in placeholders, download a PDF
- 4 standard sections: Authorization, References, Release, Understanding
- 8 clearly marked [placeholder] fields for quick personalizing
- Free to use — no account or signup required
- Fully editable — adjust any clause to match your actual situation
- Includes a signature block, ready to print or sign digitally
- Fixed docstoc.io footer on every PDF (not removable)
Who this template is for
Freelancers & solo founders
Handling routine business paperwork without commissioning custom legal drafting for every document.
Small businesses
Standardizing recurring documents — leases, agreements, notices — across a growing operation.
Anyone reviewing before signing
Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.
Growing teams
Formalizing hiring and performance processes as a company adds its first employees.
FAQ
Is this reference check authorization form template really free?
Yes, completely free — view, edit, and download this reference check authorization form as a PDF without creating an account.
What does this reference check authorization form cover?
This hr template includes Authorization, References, Release, Understanding. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.
Is this legal advice?
No. Employment documents sit on top of a mix of federal, state, and sometimes city labor law — at-will employment rules, required notices, and what you can and can't put in writing all vary. Have an employment attorney or HR professional confirm this fits your jurisdiction before you use it.
Can I edit the wording?
Yes — edit directly on the page, adjust any section or clause, and re-fill the 8 placeholder fields to match your situation before downloading a PDF. It's a starting structure, not a rigid script.
Where can I find more free templates like this?
Browse more free hr and related document templates in the docstoc library at /document-templates/.
More free document templates
- Employee Offer Letter
- Employee Written Warning / Disciplinary Notice
- Employment Agreement
- Cover Letter
- Employee Handbook Outline
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