NCO
Financial Investigative Services
BACKGROUND AUTHORIZATION FORM
(Complete and Return to Lender to forward to NCO)
NAME:
HOME ADDRESS
FOR THE PAST 10 YEARS:
SOCIAL SECURITY NO:
DATE OF BIRTH:
PHONE NUMBER:
DRIVERS LICENSE NUMBER: STATE:
I hereby authorize inquiries by NCO Financial Systems, Inc., Financial Investigative Services into my
business, personal, financial, and law enforcement background. This may include contact with credit
reporting agencies, business associates, employers, educational institutions, state, federal or government
agencies, regulatory agencies, or other institutions that can provide information relating to this
investigation.
I also hereby authorize any of the above named entities to furnish information, including copies of
records / transcripts pertaining to the above matters.
(Signature) (Date)
EFTA00611172