This background check authorization form sample can be used to create your own background check authorization form with just some clicks. A person that is agreeing to have their information looked-up must provide consent to the requesting party. This release is completed by filling-in the releasor’s information including their full name , current address, Social Security Number, date of birth, and providing their signature. Start your autorization form using our free form template and customize it as you wish, change fonts, colors, replace the fields, add new fields and print is as a PDF.