Background Check Consent template

A pre-employment background check consent form: a plain-language statement of what will be checked, the identity details a screening provider needs, an address-history branch, an explicit authorize-or-decline choice, and an e-signature. It is a single-page layout because a consent document should be readable in full before anyone signs it.

Use this template Start free — no card

12 questions · works on the free plan (500 responses/month) · fully customizable

1 built-in logic rule
E-signature question

What’s inside

The questions this template ships with — rename, reorder, or delete any of them in the builder.

01What this authorization coversStatement

02Full legal nameShort text

03Any other names you have been known byShort text

04Date of birthDate

05Position you have been offeredShort text

06Your email addressEmail

07Current home addressAddress

08Have you lived at another address in the last five years?Multiple choice

09Previous addresses in the last five yearsLong text

10Your authorizationMultiple choice

11Sign to confirm your authorizationE-signature

When to use this template

An HR team collecting written authorization before sending a candidate's details to a screening provider
A company hiring for roles that require identity and employment verification, where the paper consent form keeps getting lost
A staffing agency onboarding contractors who need the same checks run for every placement
A school, care provider, or nonprofit that must document consent for every checked role

Tips to get more from it

The signature field is an e-signature question, which is Pro-gated: you can build and preview the form on the free plan, but publishing it with the signature step requires Pro at $14.99/mo. Remove the field and the rest publishes free — though a consent form without a signature is a weaker record.
The address-history question skips the previous-addresses box for anyone who has not moved, which is most candidates, and keeps the form short for them.
The template deliberately does not ask for a Social Security number, national ID, or driver's license number. Collect those in your screening provider's own portal rather than a form — Zunoform has no HIPAA BAA, no SSO, and no SOC 2 report, so it is not the right home for that class of identifier.
The opening statement names what is checked, who runs it, and how consent can be withdrawn. Rewrite it to match your provider and your jurisdiction before you publish; the wording here is a starting point, not legal advice.

Questions people ask

Do I need a paid plan for this template?

To publish it with the signature step, yes — e-signature is a Pro question type at $14.99/mo. It is free to build and preview, and the form publishes on the free plan if you delete the signature field.

Is an electronic signature valid on a background check consent form?

The signature field records a drawn signature alongside the submission's date and time, which is the standard pattern for electronic consent. Whether that meets your jurisdiction's requirements is a question for your counsel — the template makes no compliance claim.

Is Zunoform the right place to store background check results?

No. Use this form for the authorization only. Results come back from your screening provider and belong in their system or your HRIS — Zunoform offers no HIPAA BAA and no SOC 2 report, so do not treat it as a compliant record store for check outcomes.