may affect your employment status with COMPANY NAME.

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SAMPLE ONLY-NOT LEGAL ADVICE
Sample Pre-Adverse Action Letter
PRE-ADVERSE ACTION LETTER
Information we received in a Consumer Report obtained from First Advantage may adversely
affect your employment status with COMPANY NAME.
First Advantage did not participate in any employment decision at COMPANY NAME and will be
unable to provide you with specific reasons as to why COMPANY NAME may choose to take an
adverse employment action.
Enclosed is a copy of the report and a copy of your rights under the Federal Fair Credit Reporting
Act and relevant state laws. You have the right to dispute with First Advantage the accuracy or
completeness of any information contained in the Consumer Report. You may contact First
Advantage at:
First Advantage
Consumer Center
P.O. Box 105292
Atlanta, GA 30348
(800) 845-6004
We will evaluate the information in your report on an individualized case-by-case basis in
accordance with the law and EEOC guidance. If you believe that there is additional information
that may help us better evaluate your fitness for this position, please contact me immediately at
[Company Information] If we do not hear from you within 5 days, we will make our
determination based on the information currently available to us.
Sincerely,
COMPANY NAME
Enclosures:
Background Report
Summary of Rights
Applicable State Law Rights (MA, NJ, WA, NY)
Please note: Nothing contained herein should be construed as legal advice or guidance.
Employers should consult their own counsel about their compliance responsibilities under the
FCRA and applicable state law. First Advantage expressly disclaims any warranties or
responsibility or damages associated with or arising out of information provided herein,
SAMPLE ONLY-NOT LEGAL ADVICE
Custom Pre-Adverse Letter (Body) – Including Article 23-A
Dear (Applicant’s first name, last name)
We have recently requested a background report on you. Information contained in this report
(enclosed herewith, including a summary of your rights under the Federal Fair Credit Reporting
Act and relevant state laws) may adversely affect your employment status. The background
report was prepared by:
First Advantage
Consumer Center
P.O. Box 105292
Atlanta, GA 30348
(800) 845-6004
You have the right to obtain a free disclosure of your file from First Advantage, within 60 days of
the date of this letter. You also have the right to dispute directly with First Advantage'
Consumer Dispute line at (800) 845-6004 the accuracy or completeness of any of the
information provided by First Advantage.
Sincerely,
Customer’s Name
Human Resources Department
Please note: Nothing contained herein should be construed as legal advice or guidance.
Employers should consult their own counsel about their compliance responsibilities under the
FCRA and applicable state law. First Advantage expressly disclaims any warranties or
responsibility or damages associated with or arising out of information provided herein,
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